Individual provider Active NPI

Antje Logue, MA, LPC

  • Professional Counselor
  • Helotes, TX
National Provider Identifier
1215400965
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71579 Issued in TX
Practice address
14743 Old Bandera Rd Unit 14-101
Helotes, TX 78023-3733
Phone
(210) 478-2417
NPI assigned
Jan 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 71579 TX Primary

Addresses

Primary practice location

14743 Old Bandera Rd Unit 14-101
Helotes, TX 78023-3733

Mailing address

14678 Marin Holw
Helotes, TX 78023-3918
Phone (210) 478-2417

Other practice location 1

14678 Marin Holw
Helotes, TX 78023-3918
Phone (210) 478-2417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221000859 TX Practitioner - Mental Health Counselor 8628465796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12030 Bandera Rd
Suite 108I
Helotes, TX 78023-4736
Phone (210) 695-0074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
A New Hope Counseling PLLC CurrentSince Apr 11, 2022 Accepting new patients

Locations

12030 Bandera Rd
Ste 108I
Helotes, TX 78023
Phone (210) 695-0074

14743 Old Bandera Rd
Unit 14101
Helotes, TX 78023
Phone (210) 485-6127

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1215400965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14678 MARIN HOLW",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233918",
            "telephone_number": "210-478-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14743 OLD BANDERA RD UNIT 14-101",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233733",
            "telephone_number": "210-478-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14678 Marin Holw",
            "address_purpose": "LOCATION",
            "city": "Helotes",
            "state": "TX",
            "postal_code": "780233918",
            "country_code": "US",
            "telephone_number": "210-478-2417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "ANTJE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

Verify at the official NPI Registry.