MR. JEREMY DE WAYNE LONG (LMHC, LPC) – Professional Counselor, NPI 1831458561

MR. JEREMY DE WAYNE LONG (LMHC, LPC) is a healthcare provider. based in Palm bay, Florida. specializing in Professional Counselor. They hold the professional credentials LMHC, LPC. They hold a License No. MH 11075 (FL). The NPI Number for MR. JEREMY DE WAYNE LONG (LMHC, LPC) is 1831458561

Main info

Male
Name
MR. JEREMY DE WAYNE LONG (LMHC, LPC)
NPI
1831458561
Phone
(321) 482-9492
Address
630 TEJON AVE SW
Enumeration Date
15 May 2012
Last Update Date
24 August 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for MR. JEREMY DE WAYNE LONG (LMHC, LPC)

  • 630 TEJON AVE SW

    PALM BAY, FL 329087437

    Phone: (321) 482-9492

    Type: Mailing

  • 870 HOLLYWOOD BLVD

    WEST MELBOURNE, FL 329047418

    Phone: (800) 438-1772

    Fax: (262) 345-5562

    Type: Location

  • 690 Friday Rd

    Cocoa, FL 329263317

    Phone: (321) 636-9941

    Type: Location

  • W175N11120 Stonewood Dr

    Germantown, WI 530224799

    Phone: (800) 438-1772

    Fax: (262) 345-5562

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32908)

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Reviews

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Frequently asked questions

Is MR. JEREMY DE WAYNE LONG (LMHC, LPC) listed with a National Provider Identifier?
Yes — MR. JEREMY DE WAYNE LONG (LMHC, LPC) has NPI 1831458561 on file in the registry.
Is MR. JEREMY DE WAYNE LONG (LMHC, LPC) shown as active in public data?
Registry records indicate MR. JEREMY DE WAYNE LONG (LMHC, LPC) maintains an active NPI.
How would a patient describe MR. JEREMY DE WAYNE LONG (LMHC, LPC)'s focus?
For MR. JEREMY DE WAYNE LONG (LMHC, LPC), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
Is MR. JEREMY DE WAYNE LONG (LMHC, LPC) associated with Palm Bay?
Public fields place MR. JEREMY DE WAYNE LONG (LMHC, LPC) around Palm Bay, Florida. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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