Individual provider Active NPI

Elizabeth Logan Tedder, LPC

  • Professional Counselor
  • Florence, AL
National Provider Identifier
1386285161
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4120 Issued in AL
Practice address
1609 Mockingbird Court, St, B
Florence, AL 35630-7511
Phone
(256) 320-7781
Fax
(256) 320-7776
NPI assigned
Oct 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4120 AL Primary

Addresses

Primary practice location

1609 Mockingbird Court, St, B
Florence, AL 35630-7511

Mailing address

1609 Mockingbird Court, St, B
Florence, AL 35630-7511
Phone (256) 320-7781

Other identifiers 1

IdentifierTypeStateIssuer
4120OtherALALABAMA BOARD OF EXAMINERS IN COUNSELING

Other names 1

  • Logan Tedder Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20251118000814 AL Practitioner - Mental Health Counselor 0244721280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remedy Behavioral Health LLC 46 clinicians

Practice addresses (Care Compare)

158 Heathrow Dr
Florence, AL 35633-1570
Phone (256) 320-7781

1609 Mockingbird CT
Suite B
Florence, AL 35630-7511
Phone (256) 320-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4120ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals NP Homecare, LLC Current Accepting new patients
Remedy Behavioral Health, LLC CurrentSince Oct 28, 2025 Accepting new patients
Addiction & Mental Health Services Inc PastSince Oct 6, 2019 Accepting new patients
Addiction & Mental Health Services, LLC PastSince Oct 6, 2019 Accepting new patients
Remedy Healthcare LLC PastSince Jul 1, 2023 Accepting new patients

Locations

1609 Mockingbird Ct
Ste B
Florence, AL 35630
Phone (256) 320-7778

120 S Locust St
Florence, AL 35630
Phone (256) 320-7781

1001 S Jackson Hwy
Sheffield, AL 35660
Phone (256) 320-7778

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1386285161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 MOCKINGBIRD COURT, ST, B",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307511",
            "telephone_number": "256-320-7781",
            "fax_number": "256-320-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 MOCKINGBIRD COURT, ST, B",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307511",
            "telephone_number": "256-320-7781",
            "fax_number": "256-320-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDDER",
        "first_name": "ELIZABETH",
        "middle_name": "LOGAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF EXAMINERS IN COUNSELING",
            "identifier": "4120",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOGAN",
            "last_name": "TEDDER",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.