Healing Space Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HEALING SPACE COUNSELING

Practice address

613 Ridgely Ave
Annapolis, MD 21401-1069

Phone

(443) 764-7490

NPI assigned

Jan 18, 2023

Organization subpart

No

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

Authorized official

Name

Michele K Logan, LCPC, NCC, CCMHCNPI 1770828089

Title

Owner

Phone

(443) 764-7490

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele K Logan, M.S. LCPC, NCC

  • Professional Counselor
  • Annapolis, MD
  • NPI 1770828089

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1316652001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 RIDGELY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011069",
            "telephone_number": "443-764-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 RIDGELY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011069",
            "telephone_number": "443-764-7490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1997 Annapolis Exchange Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013273",
            "country_code": "US",
            "telephone_number": "443-764-7490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING SPACE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-764-7490",
        "authorized_official_credential": "LCPC, NCC, CCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315015100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice He
• Gene He
• Gregory L Heacock, MD
• Jared Kartchner Heal, DO, UMO/DMO USN
• Healing Into Wholeness
• Mae Wu Healy, D.O,
• Robyn Healy
• Ellen Ruth Heavner
• Matthew Gregory Heavner, MD
• Hayley Day Hebberd, BEHAVIOR TECHNICIAN

• Professional Counselor in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.