Jeannie M Logan, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

939 N Main St
Wichita, KS 67203-3608

Phone

(316) 263-8807

Fax

(316) 263-9681

NPI assigned

Mar 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Wichita Treatment Center, Inc

  • Methadone Clinic
  • Wichita, KS
  • NPI 1881730760
  NPD

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1386384261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033608",
            "telephone_number": "316-263-8807",
            "fax_number": "316-263-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JEANNIE",
        "middle_name": "M",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Lofgren-Breen, AAPS
• Rosella Loflin, CRNA
• Donna L Logan, MD
• Jacquelyn T Logan, APRN
• James E Logan, MD
• Mendy Logan, LPC
• Whitney Erin Loganbill, PA-C
• Dava Logsdon, DPT
• Roin Kumar Lohana, MD
• Whitney Leigh Lohkamp, FNP-C

• Addiction (Substance Use Disorder) Counselor in Wichita, KS
• Providers in Wichita, KS by specialty
• Addiction (Substance Use Disorder) Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.