Active NPI
Lisa Logelin
- Professional Counselor
- Chanhassen, MN
National Provider Identifier
1093133761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 00540
- Practice address
- 7945 Stone Creek Dr
Suite 140
Chanhassen, MN 55317-4605 - Phone
- (952) 974-3999
- Fax
- (952) 974-3780
- NPI assigned
- Mar 31, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 00540 | MN | Primary |
Addresses
Primary practice location
7945 Stone Creek Dr
Suite 140
Chanhassen, MN 55317-4605
Mailing address
1216 Crystal PL E
Chaska, MN 55318-2233
Phone (952) 250-7697
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00540 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1093133761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 CRYSTAL PL E",
"city": "CHASKA",
"state": "MN",
"postal_code": "553182233",
"telephone_number": "952-250-7697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7945 STONE CREEK DR",
"address_2": "SUITE 140",
"city": "CHANHASSEN",
"state": "MN",
"postal_code": "553174605",
"telephone_number": "952-974-3999",
"fax_number": "952-974-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGELIN",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "00540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chanhassen, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.