Active NPI
Kashava Logan, LPC
- Professional Counselor
- Washington, DC
National Provider Identifier
1144746264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC14943
- Practice address
- 100 M St SE
Washington, DC 20003-3519 - Phone
- (202) 749-8763
- NPI assigned
- Aug 21, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP7816 | MD | |
| Professional Counselor | 101YP2500X | PRC14943 | DC | Primary |
Addresses
Primary practice location
100 M St SE
Washington, DC 20003-3519
Mailing address
100 M St SE
Washington, DC 20003-3519
Other practice location 1
4712 9th St NW
Washington, DC 20011
Phone (202) 421-1546
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 |
|---|---|---|---|
| PRC14943 | DC | MD | Professional Counselor |
| LGP7816 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144746264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 M ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 M ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033519",
"telephone_number": "202-749-8763"
}
],
"practiceLocations": [
{
"address_1": "4712 9th St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "20011",
"country_code": "US",
"telephone_number": "202-421-1546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOGAN",
"first_name": "KASHAVA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP7816",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC14943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.