Active NPI
Rebecca Logunovskiy, LPC, LMHC
- Professional Counselor
- Florham Park, NJ
National Provider Identifier
1093059669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00522600
- Practice address
- 171 Ridgedale Ave Ste J
Florham Park, NJ 07932-1764 - Phone
- (973) 515-1216
- Fax
- (973) 515-3108
- NPI assigned
- Nov 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005878 | NY | |
| Professional Counselor | 101YP2500X | 37PC00522600 | NJ | Primary |
Addresses
Primary practice location
171 Ridgedale Ave Ste J
Florham Park, NJ 07932-1764
Mailing address
171 Ridgedale Ave Ste J
Florham Park, NJ 07932-1764
Phone (973) 515-1216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00522600 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapymilestones II | Mental Health | Current | Accepting new patients |
| Psychotherapy Milestones LLC | Professional | Past | Accepting new patients |
Locations
470 Ridgedale Ave
Ste 3
East Hanover, NJ 07936
Phone (973) 515-1216
171 Ridgedale Ave
Ste J
Florham Park, NJ 07932
Phone (973) 377-6327
Organizations & group practices 2
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 Counselor
- Florham Park, NJ
- NPI 1528787108
-
- Professional Counselor
- East Hanover, NJ
- NPI 1194273284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1093059669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 RIDGEDALE AVE STE J",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321764",
"telephone_number": "973-515-1216",
"fax_number": "973-515-3108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 RIDGEDALE AVE STE J",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321764",
"telephone_number": "973-515-1216",
"fax_number": "973-515-3108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGUNOVSKIY",
"first_name": "REBECCA",
"credential": "LPC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "005878",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00522600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.