Individual provider Active NPI

Carole S. Logalbo, LCPC

  • Professional Counselor
  • Glen Ellyn, IL
National Provider Identifier
1053527242
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
493 Forest Ave
Glen Ellyn, IL 60137-4104
Phone
(630) 469-1555
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

493 Forest Ave
Glen Ellyn, IL 60137-4104

Mailing address

0N706 Concord LN
Winfield, IL 60190-1085
Phone (630) 668-4594

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
I20240321003471 IL Practitioner - Mental Health Counselor 6103263470 Practice locations: Glen Ellyn, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

493 Forest Ave
Glen Ellyn, IL 60137-4104
Phone (630) 668-4594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180-001144ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthchek 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053527242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0N706 CONCORD LN",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901085",
            "telephone_number": "630-668-4594",
            "fax_number": "630-668-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 FOREST AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374104",
            "telephone_number": "630-469-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGALBO",
        "first_name": "CAROLE",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.