Logan Simmons, LCSWA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P019573 Issued in NC

Practice address

223 Commerce St Ste D
Greenville, NC 27858-5032

Phone

(252) 414-5346

NPI assigned

Aug 29, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bailey Collective Wellness PLLC

  • Clinical Social Worker
  • Greenville, NC
  • NPI 1245119015
  NPD Authorized official

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1184409062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S BAYWOOD LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346946",
            "telephone_number": "910-840-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 COMMERCE ST STE D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585032",
            "telephone_number": "252-414-5346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Baywood Ln",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278346946",
            "country_code": "US",
            "telephone_number": "910-840-5568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LOGAN",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019573",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "P019573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rod Spencer Silverman, MD
• John Louis Silvernail, MD
• Kristina L. Simeonsson, M.D.
• Prashant Simkhada
• Daniel Wade Simmons, CRNA
• Melissa S Simmons
• Qiana Pendorin Simmons
• Shari Hope Simmons, MS, CCC-SLP
• Brian Francis Simpson, M.D.
• Jerry Allen Simpson, MD

• Counselor in Greenville, NC
• Providers in Greenville, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.