IndividualActive
Jeremy Long, LMHC, LPC
NPI 1831458561 · Professional Counselor · West Melbourne, FL
Provider details
- NPI number
- 1831458561
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC, LPC
- Sex
- Male
- Sole proprietor
- No
- License
- MH 11075 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
870 Hollywood Blvd
West Melbourne, FL 32904-7418
Phone: (800) 438-1772
Fax: (262) 345-5562
Street-level locationGet directions
Mailing address
630 Tejon Ave Sw
Palm Bay, FL 32908-7437
Additional practice locations (2)
- 690 Friday RdCocoa, FL 32926-3317Phone: (321) 636-9941
- W175n11120 Stonewood DrGermantown, WI 53022-4799Phone: (800) 438-1772Fax: (262) 345-5562
Registry dates
- Enumerated
- 2012-05-15
- Last updated
- 2020-08-24
- Certified
- 2020-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.