Individual provider Active NPI

David Martin Loggans II, LPC

  • Mental Health Counselor
  • Valdosta, GA
National Provider Identifier
1225465586
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC013510 Issued in GA
Practice address
2704 N Oak St BLDG J
Valdosta, GA 31602-1768
Phone
(229) 262-7333
Fax
(229) 262-7335
NPI assigned
Oct 2, 2013
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC013510 GA Primary

Addresses

Primary practice location

2704 N Oak St BLDG J
Valdosta, GA 31602-1768

Mailing address

2704 N Oak St BLDG J
Valdosta, GA 31602-1768
Phone (229) 262-7333

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

LicenseStateTypeSpecialty
LPC013510GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services of South Georgia PastSince May 1, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1225465586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST BLDG J",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021768",
            "telephone_number": "229-262-7333",
            "fax_number": "229-262-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST BLDG J",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021768",
            "telephone_number": "229-262-7333",
            "fax_number": "229-262-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGGANS",
        "first_name": "DAVID",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC013510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.