Active NPI
Logan N Hubbard, LMFT
- Marriage & Family Therapist
- Salt Lake City, UT
National Provider Identifier
1104584200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 14269230-3902
- Practice address
- 3556 S 5600 W # 557
Salt Lake City, UT 84120-2815 - Phone
- (615) 669-0089
- NPI assigned
- Dec 6, 2021
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1853 | TN | |
| Marriage & Family Therapist | 106H00000X | 14269230-3902 | UT | Primary |
Addresses
Primary practice location
3556 S 5600 W # 557
Salt Lake City, UT 84120-2815
Mailing address
3556 S 5600 W # 557
Salt Lake City, UT 84120-2815
Phone (615) 669-0089
Other practice location 1
2021 21st Ave S
Nashville, TN 37212-4342
Phone (615) 669-0089
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 |
|---|---|---|---|
| 14269230-3902 | UT | MD | Marriage & Family Therapist |
| 1853 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1104584200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3556 S 5600 W # 557",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841202815",
"telephone_number": "615-669-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3556 S 5600 W # 557",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841202815",
"telephone_number": "615-669-0089"
}
],
"practiceLocations": [
{
"address_1": "2021 21st Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372124342",
"country_code": "US",
"telephone_number": "615-669-0089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBBARD",
"first_name": "LOGAN",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-06",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "1853",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "14269230-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.