Thomas Mack Logan, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

67844 Issued in TX

Practice address

404 Deerwood Dr
Longview, TX 75604-4415

Phone

(956) 203-1131

NPI assigned

Sep 27, 2011

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: logan.thomas.1@30520.direct.athenahealth.com
• Direct secure messaging: thomaslogan@tdh.allscriptsdirect.net
• Direct secure messaging: thomaslogan@wp.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1184907024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 DEERWOOD DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756044415",
            "telephone_number": "956-203-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 DEERWOOD DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756044415",
            "telephone_number": "956-203-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "THOMAS",
        "middle_name": "MACK",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward C Liu
• Live Oak Counseling and Wellness, LLC
• Karis Parrish Locke, M.S., CCC-SLP
• Jonathan Clay Lockhart, M.D.
• Kristy Loftin-Moening
• Januette London
• Lone Star Scooters of Longview, L.L.C.
• Ashley Long, LCDC
• Tim Long, RPH
• Longview Acupuncture and Wellness, PLLC

• Professional Counselor in Longview, TX
• Providers in Longview, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.