Organization Active NPI

Log Cabin Counseling

  • Marriage & Family Therapist
  • Middlesex, NC
National Provider Identifier
1093609109
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LOG CABIN COUNSELING
Practice address
12255 Lodge Rd
Middlesex, NC 27557-7452
Phone
(512) 635-3544
NPI assigned
Jun 4, 2025
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Roger David Heeren, LMFTNPI 1376780437
Title
Owner/Therapist
Phone
(512) 635-3544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

12255 Lodge Rd
Middlesex, NC 27557-7452

Mailing address

12255 Lodge Rd
Middlesex, NC 27557-7452
Phone (512) 635-3544

Other practice location 1

3820 Merton Dr Ste 202
Raleigh, NC 27609-6609
Phone (512) 635-3544

National Provider Directory

National Provider Directory

Locations

3820 Merton Dr
Ste 202
Raleigh, NC 27609
Phone (512) 635-3544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1093609109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 LODGE RD",
            "city": "MIDDLESEX",
            "state": "NC",
            "postal_code": "275577452",
            "telephone_number": "512-635-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 LODGE RD",
            "city": "MIDDLESEX",
            "state": "NC",
            "postal_code": "275577452",
            "telephone_number": "512-635-3544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Merton Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096609",
            "country_code": "US",
            "telephone_number": "512-635-3544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOG CABIN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "HEEREN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "512-635-3544",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.