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Andrea Longo

Counselor - Professional β€’ Boardman, OH

Active NPI 1063801249 Individual Practitioner Female Practitioner
Practice location in NPPES

8261 Market St
Boardman, OH 445126254

Call 3302860050 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8261 Market St

Boardman, OH 445126254

Telephone 3302860050
Organization at the Same NPPES Address or Phone
Carradine Chiropractic Center, Inc. Facility NPI 1598701443

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Travco Behavioral Health, Inc.. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2013

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Andrea Longo has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Andrea Longo as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Boardman and Ohio

27 active clinicians are listed under Counselor - Professional with a practice address in Boardman, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boardman

11.1% of these 27 clinicians have the CMS telehealth indicator.

18.5% of these 27 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.1700246-SUPV
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240108003635

Enrollment State Jurisdiction

OH

PECOS Control ID

8426409178

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Travco Behavioral Health, Inc.

8261 Market St, Boardman, OH 445126254

Travco Behavioral Health, Inc.

8261 Market St, Boardman, OH 445126254

Phone: 3302860050

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Lori Leipheimer , CRNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013990845

Certified Registered Nurse Practitioner

Shawn Martin , MSN, APRN, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134851751

Master of Science in Nursing, Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner

Taylor Watson

Nurse Practitioner - Psychiatric/Mental Health

NPI 1902531577
Jaymi Wendt , LISW

Social Worker - Clinical

NPI 1821438730

Licensed Independent Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 30, 2023

Registered at 8261 MARKET ST, BOARDMAN, OH 445126254 (Tel: 3302860050)

πŸ“
Updated Business Mailing Address November 30, 2023

Registered at 8261 MARKET ST, BOARDMAN, OH 445126254 (Tel: 3302860050)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2023

Counselor (license number reported to NPPES: OH E.1700246-SUPV)

βœ…
NPI Profile Active January 12, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 12, 2015

Registered at 726 WICK AVE, YOUNGSTOWN, OH 445052827 (Tel: 3307479551)

πŸ“
Business Mailing Address (Initial Record) January 12, 2015

Registered at 726 WICK AVE, YOUNGSTOWN, OH 445052827 (Tel: 3307479551)

πŸ‘€
Provider Name / Credentials (Initial Record) January 12, 2015

Recorded as ANDREA LONGO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2015

Counselor (license number reported to NPPES: OH C1200467)

🟒
Initial NPI Registration & Enumeration January 12, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063801249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2015
Last Update: November 30, 2023
Sole Proprietor: No

Mailing Address

8261 Market St

Boardman, OH 445126254

Phone: 3302860050

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.