Lewis E Logan II, MDIV, THM, DMIN, CPE

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

332 N. Prairie Ave.
Suite 417
Inglewood, CA 90301

Phone

(310) 680-1810

NPI assigned

Mar 6, 2017

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

Practice roles

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.

• Chaplaincy Care Network

  • Pastoral Counselor
  • Inglewood, CA
  • NPI 1316486467
  NPD (past) Authorized official

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1477093789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10747 MAGNOLIA BLVD",
            "address_2": "418",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014093",
            "telephone_number": "310-936-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 N. PRAIRIE AVE.",
            "address_2": "SUITE 417",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "310-680-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "LEWIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MDIV, THM, DMIN, CPE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Chia-Perng Liu, DDS
• Timbre Henning Livesay
• Haydee Lizarraga
• Irma Loera
• Cecile Logan, LVN
• Tiffany Logan, L.E
• Rachel Lauren Lograsso, D.D.S.
• Katrina Long
• Sara O Valentina Lopez Torres
• Cindy Lopez

• Pastoral Counselor in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Pastoral Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.