Thomas Michael Logan, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00010374 Issued in WA

Practice address

103 E 4TH Ave Ste 200
Ellensburg, WA 98926-3189

Phone

(509) 962-6235

Fax

(541) 966-9130

NPI assigned

Feb 7, 2007

Sex

Male

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

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1437299476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 4TH AVE STE 200",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263189",
            "telephone_number": "509-962-6235",
            "fax_number": "541-966-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 4TH AVE STE 200",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263189",
            "telephone_number": "509-962-6235",
            "fax_number": "541-966-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Big Kids Pediatric Dentistry
• Suzanne Little, PHD
• Christine Dawn Loen
• Grace Loen
• Michael W Logan Jr.
• Arianna Beth Logsdon, LICSW-A
• Grace Mikael Logsdon
• Cari Lynn Lokrantz, APNP
• Kenna Lonborg, CPHT
• Ginger K Longo, MD

• Mental Health Counselor in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.