Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michael Long , PSS, CRM

Peer Specialist β€’ Salem, OR

Active NPI 1669047700 Individual Practitioner Male Practitioner
Practice location in NPPES

2045 Silverton Rd Ne Ste A
Salem, OR 973010100

Call 9713753792 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

2045 Silverton Rd Ne Ste A

Salem, OR 973010100

Telephone 9713753792
Organization at the Same NPPES Address or Phone
Marion County Facility NPI 1386706919

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

NPI first issued

2021

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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

Compared with the same specialty in Salem and Oregon

299 active clinicians are listed under Peer Specialist with a practice address in Salem, OR (3,355 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Salem

0% of these 299 clinicians have the CMS telehealth indicator.

0% of these 299 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: 2024-07-11
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OR THW000004320

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OR T-24-4197
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: Oregon Medical Board.
Look Up on State Board Site

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 July 11, 2024

Registered at 2045 SILVERTON RD NE STE A, SALEM, OR 973010100 (Tel: 9713753792)

πŸ“
Updated Business Mailing Address July 11, 2024

Registered at 2045 SILVERTON RD NE STE A, SALEM, OR 973010100 (Tel: 9713753792)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2024

Counselor (license number reported to NPPES: OR T-24-4197)

βœ…
NPI Profile Active May 21, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 21, 2021

Registered at 2995 RYAN DR SE STE 200, SALEM, OR 973015157 (Tel: 5036022217)

πŸ“
Business Mailing Address (Initial Record) May 21, 2021

Registered at 2995 RYAN DR SE STE 200, SALEM, OR 973015157 (Tel: 5036022217)

πŸ‘€
Provider Name / Credentials (Initial Record) May 21, 2021

Recorded as MICHAEL LONG, PSS, CRM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2021

Peer Specialist (license number reported to NPPES: OR THW000004320)

🟒
Initial NPI Registration & Enumeration May 21, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1669047700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2021
Last Update: July 11, 2024
Sole Proprietor: No

Mailing Address

2045 Silverton Rd Ne Ste A

Salem, OR 973010100

Phone: 9713753792

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.