Active NPI
Logan Alexander Profit, PMHNP, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Georgetown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4051054
- Practice address
- 1154A Lexington Rd
Georgetown, KY 40324-9330 - Phone
- (833) 510-3278
- NPI assigned
- Feb 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4051054 | KY | Primary |
| Registered Nurse | 163W00000X | 1173932 | KY |
Addresses
Primary practice location
1154A Lexington Rd
Georgetown, KY 40324-9330
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Other practice location 1
3093 Many Oaks Park
Lexington, KY 40509-8537
Phone (859) 619-4272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260305003758 | KY | Practitioner - Nurse Practitioner | 5799267969 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brightview LLC
Practice addresses (Care Compare)
1154 A Lexington Rd
Georgetown, KY 40324-9330
Phone (833) 510-4357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1173932 | KY | MD | Registered Nurse |
| 4051054 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightview LLC | Current | Accepting new patients | |
| Brightview, LLC | Current | Accepting new patients |
Locations
1154A Lexington Rd
Georgetown, KY 40324
Phone (502) 868-0008
506 N Main St
Nicholasville, KY 40356
Phone (859) 887-3712
4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269
Organizations & group practices 5
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.
-
- Addiction Medicine (Internal Medicine) Physician
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- NPI 1962163782
-
- Methadone Clinic
- Chesapeake, VA
- NPI 1164205126
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lynchburg, VA
- NPI 1649786260
-
- Community/Behavioral Health Agency
- Asheboro, NC
- NPI 1710668181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1508716929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1154A LEXINGTON RD",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249330",
"telephone_number": "833-510-3278"
}
],
"practiceLocations": [
{
"address_1": "3093 Many Oaks Park",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405098537",
"country_code": "US",
"telephone_number": "859-619-4272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROFIT",
"first_name": "LOGAN",
"middle_name": "ALEXANDER",
"credential": "PMHNP, APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-03",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "4051054",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1173932",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.