Active NPI
Logan Sage Croft, LPC
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1235584012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-17404
- Practice address
- 2800 E Ajo Way
Emergency Department of Psychiatry
Tucson, AZ 85713 - Phone
- (520) 229-6220
- Fax
- (520) 874-7047
- NPI assigned
- Apr 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-17404 | AZ | Primary |
Addresses
Primary practice location
2800 E Ajo Way
Emergency Department of Psychiatry
Tucson, AZ 85713
Mailing address
2800 E Ajo Way
Emergency Department of Psychiatry
Tucson, AZ 85713
Phone (520) 229-6220
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 |
|---|---|---|---|
| LPC-17404 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Life Skills Development | Professional | Past | 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 and National Provider Directory roles.
-
- Professional Counselor
- Tucson, AZ
- NPI 1316229339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1235584012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E AJO WAY",
"address_2": "EMERGENCY DEPARTMENT OF PSYCHIATRY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85713",
"telephone_number": "520-229-6220",
"fax_number": "520-874-7047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E AJO WAY",
"address_2": "EMERGENCY DEPARTMENT OF PSYCHIATRY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85713",
"telephone_number": "520-229-6220",
"fax_number": "520-874-7047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROFT",
"first_name": "LOGAN SAGE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-28",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-17404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.