IndividualActive
Lacey Longo
NPI 1558221895 · Addiction (Substance Use Disorder) Counselor · Fowler, IL
Provider details
- NPI number
- 1558221895
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- CADC-45328 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1311 N 1720th Ave
Fowler, IL 62338-1016
Phone: (217) 506-2788
Street-level locationGet directions
Mailing address
1390 Market St Ste 200
San Francisco, CA 94102-5404
Registry dates
- Enumerated
- 2025-11-17
- Last updated
- 2025-11-19
- Certified
- 2025-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.