Individual provider Active NPI

Caleb Carl Loge, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Perham, MN
National Provider Identifier
1417867573
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
307090 Issued in MN
Practice address
840 E Main St
Perham, MN 56573-1934
Phone
(218) 346-6100
Fax
(218) 249-1507
NPI assigned
Sep 10, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 307090 MN Primary

Addresses

Primary practice location

840 E Main St
Perham, MN 56573-1934

Mailing address

840 E Main St
Perham, MN 56573-1934
Phone (218) 346-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1417867573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E MAIN ST",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565731934",
            "telephone_number": "218-346-6100",
            "fax_number": "218-249-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E MAIN ST",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565731934",
            "telephone_number": "218-346-6100",
            "fax_number": "218-249-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGE",
        "first_name": "CALEB",
        "middle_name": "CARL",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "307090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perham, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.