Active NPI
Logan Marsh Lamprecht, PH.D., LCPC, M. COUN
- Mental Health Counselor
- Eagle, ID
National Provider Identifier
1033429899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6784
- Practice address
- 533 E Riverside Dr # 120533E
Eagle, ID 83616-6095 - Phone
- (208) 339-1279
- NPI assigned
- Oct 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LCPC6784 | ID | |
| Mental Health Counselor | 101YM0800X | NCC-225208 | ID | |
| Mental Health Counselor | 101YM0800X | C.0700919 | OH | |
| Professional Counselor | 101YP2500X | 6784 | ID | |
| Mental Health Counselor | 101YM0800X | 6784 | ID | Primary |
Addresses
Primary practice location
533 E Riverside Dr # 120533E
Eagle, ID 83616-6095
Mailing address
533 E Riverside Dr # 120533E
Eagle, ID 83616-6095
Phone (208) 339-1279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250515001147 | ID | Practitioner - Mental Health Counselor | 5991223760 | Practice locations: Eagle, ID |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
533 E Riverside Dr
Suite 120
Eagle, ID 83616-6585
Phone (208) 339-1279
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC6784 | ID | MD | Counselor |
| NCC-225208 | ID | MD | Mental Health Counselor |
| C.0700919 | OH | MD | Mental Health Counselor |
| 6784 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nview Behavioral Health Clinic of Idaho LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Eagle, ID
- NPI 1114419363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1033429899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 E RIVERSIDE DR # 120533E",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166095",
"telephone_number": "208-339-1279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 E RIVERSIDE DR # 120533E",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166095",
"telephone_number": "208-339-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMPRECHT",
"first_name": "LOGAN",
"middle_name": "MARSH",
"name_prefix": "Dr.",
"credential": "PH.D., LCPC, M. COUN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LCPC6784",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "NCC-225208",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.0700919",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "6784",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "6784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.