Individual provider Active NPI

Demetra Logan, LPC

  • Professional Counselor
  • North Little Rock, AR
National Provider Identifier
1356930671
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2310011 Issued in AR
Practice address
513 Main St
North Little Rock, AR 72114-5329
Phone
(501) 777-5969
NPI assigned
Jan 12, 2021
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A2012186 AR
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X P2310011 AR Primary

Addresses

Primary practice location

513 Main St
North Little Rock, AR 72114-5329

Mailing address

1701 Centerview Dr Ste 200
Little Rock, AR 72211-4312
Phone (501) 231-8472

Other practice location 1

1701 Centerview Dr Ste 200
Little Rock, AR 72211-4312
Phone (501) 231-8472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20231202000671 AR Practitioner - Mental Health Counselor 5193173045 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A2012186ARMDMental Health Counselor
P2310011ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates, Inc. CurrentSince Jan 1, 2024 Accepting new patients
McCoy Counseling LLC CurrentSince Jun 9, 2024 Accepting new patients
Counseling Associates Inc Current Accepting new patients
Mental Wellness Connection Mental Health CurrentSince Mar 20, 2025 Accepting new patients
Counseling Associates, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

11215 Hermitage Rd
Ste 204
Little Rock, AR 72211
Phone (501) 283-7201

8 Hospital Dr
Morrilton, AR 72110
Phone (501) 354-1561

110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

Organizations & group practices 5

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1356930671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CENTERVIEW DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114312",
            "telephone_number": "501-231-8472",
            "fax_number": "501-833-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 MAIN ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145329",
            "telephone_number": "501-777-5969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Centerview Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722114312",
            "country_code": "US",
            "telephone_number": "501-231-8472",
            "fax_number": "501-833-5012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "DEMETRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2012186",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2310011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.