Jeremy De Wayne Long, LMHC, LPC
NPI 1831458561ActiveIndividual· Counselor, Professional· West Melbourne, FL
Opted out of Medicare from September 2025 to September 2027. Counselor, Professional (LMHC, LPC) in West Melbourne, Florida, licensed in WI and FL, with an NPI issued in May 2012.
Overview
| NPI | 1831458561 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMHC, LPC |
| Sole proprietor | No |
| NPI issued | May 15, 2012 |
| Last updated in NPPES | Aug 24, 2020 |
| Certified by provider | Aug 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 5617-125 | WI |
| Counselor, Mental Health | 101YM0800X | MH 11075 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Sep 2, 2025 – Sep 2, 2027 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Other Counselor, Professional providers in West Melbourne
- 1588954432