Individual provider Active NPI

Logan Alexander Profit, PMHNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, KY
National Provider Identifier
1508716929
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4051054 Issued in KY
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

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 9032426044, 117 clinicians

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

LicenseStateTypeSpecialty
1173932KYMDRegistered Nurse
4051054KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Feb 20, 2026 Accepting new patients
Brightview, LLC CurrentSince Feb 20, 2026 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.

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

Verify at the official NPI Registry.