Individual provider Active NPI

Logan Freeman Swensen

  • Professional Counselor
  • Charleston, SC
National Provider Identifier
1467942664
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10539 Issued in SC
Practice address
1052 Gardner Rd
Charleston, SC 29407-5702
Phone
(843) 608-0351
NPI assigned
May 14, 2018
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 10539 SC Primary

Addresses

Primary practice location

1052 Gardner Rd
Charleston, SC 29407-5702

Mailing address

1052 Gardner Rd
Charleston, SC 29407-5702
Phone (843) 608-0351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 15, 2025 through Jan 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10539SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1467942664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 GARDNER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075702",
            "telephone_number": "843-608-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 GARDNER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075702",
            "telephone_number": "843-608-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSEN",
        "first_name": "LOGAN",
        "middle_name": "FREEMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.