NPIMap

Organization Active NPI

Logan Counseling Inc.

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1275548968
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LOGAN COUNSELING INC.
Practice address
2917 N Main St
Rockford, IL 61103-3120
Phone
(815) 316-2621
NPI assigned
Jul 30, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Julie Ann Logan, LCSWNPI 1700058005
Title
Co-Owner
Phone
(815) 316-2621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IL Primary

Addresses

Primary practice location

2917 N Main St
Rockford, IL 61103-3120

Mailing address

2917 N Main St
Rockford, IL 61103-3120
Phone (815) 316-2621

National Provider Directory

National Provider Directory

Locations

2917 N Main St
Rockford, IL 61103
Phone (815) 316-2621

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1275548968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033120",
            "telephone_number": "815-316-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033120",
            "telephone_number": "815-316-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "815-316-2621",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.