Individual provider Active NPI

Jamie M Logan, LIAC, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Sedona, AZ
National Provider Identifier
1487978292
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15103 Issued in AZ
Practice address
20 Bell Rock PLZ
Sedona, AZ 86351-9044
Phone
(928) 662-9978
NPI assigned
Mar 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15103 AZ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 936 OK

Addresses

Primary practice location

20 Bell Rock PLZ
Sedona, AZ 86351-9044

Mailing address

PO Box 21113
Sedona, AZ 86341-1113
Phone (928) 662-9978

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15103AZMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Canyon Counseling LLC Addiction (Substance Use Disorder) CurrentSince Oct 5, 2021 Accepting new patients

Locations

20 Bell Rock Plz
Sedona, AZ 86351
Phone (928) 274-0294

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1487978292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21113",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863411113",
            "telephone_number": "928-662-9978",
            "fax_number": "928-852-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BELL ROCK PLZ",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863519044",
            "telephone_number": "928-662-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JAMIE",
        "middle_name": "M",
        "credential": "LIAC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "15103",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.