Michelle Denise Logan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011826 Issued in VA

Practice address

600 Church St Unit 654
Norfolk, VA 23501-3228

Phone

(757) 550-1488

NPI assigned

Oct 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advocate for Youth and Family Services Inc.

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1619682051

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1366166282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235010654",
            "telephone_number": "757-292-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CHURCH ST UNIT 654",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235013228",
            "telephone_number": "757-550-1488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 S Rosemont Rd",
            "address_purpose": "LOCATION",
            "city": "VA Beach",
            "state": "VA",
            "postal_code": "234524061",
            "country_code": "US",
            "telephone_number": "757-431-0105",
            "fax_number": "757-431-0106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011826",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Patrick Malpaya Llanda, PA
• Margaret Ann Lluy, PH.D.
• LNJ Cares Home Health Agency LLC
• Daveena Lockhart-Boyette, RRT
• Deborah Lodato-Jensen, LCSW
• Gregory Alan Lohr, O.D.
• Sylvia Mieko Lohr, O.D.
• Kaitlin Marie Lohrmann
• Andrew Patrick Loiacono, MD
• Patsy J Loiacono, MD

• Professional Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.