Individual provider Active NPI

Lana Yael Logan, LCPC

  • Professional Counselor
  • Orland Park, IL
National Provider Identifier
1003996307
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007562 Issued in IL
Practice address
10730 W 143Rd St Ste 32
Orland Park, IL 60462-1976
Phone
(312) 502-0118
Fax
(708) 675-7574
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Professional Counselor 101YP2500X 180007562 IL Primary

Addresses

Primary practice location

10730 W 143Rd St Ste 32
Orland Park, IL 60462-1976

Mailing address

5844 Elaine Dr Ste 103
Rockford, IL 61108-2494
Phone (312) 502-0118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121002477 IL Practitioner - Mental Health Counselor 9537698576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10730 W 143Rd St
Suite 32
Orland Park, IL 60462-1976
Phone (815) 263-8785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180007562ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Logan & Associates Counseling Services PLLC Professional CurrentSince Jul 21, 2023 Accepting new patients
Logan & Associates Counseling Sesrvices Current Accepting new patients
Logan Counseling, LTD Professional PastSince Feb 14, 2021 Accepting new patients

Locations

10730 W 143rd St
Ste 32
Orland Park, IL 60462
Phone (312) 502-0118

5844 Elaine Dr
Ste 103
Rockford, IL 61108
Phone (815) 519-3106

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1003996307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 ELAINE DR STE 103",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082494",
            "telephone_number": "312-502-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 W 143RD ST STE 32",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621976",
            "telephone_number": "312-502-0118",
            "fax_number": "708-675-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "LANA",
        "middle_name": "YAEL",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.