Individual provider Active NPI

Ellen Udine Logacz, PH.D. LP MA LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1538382767
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
909 Issued in MN
Practice address
2124 Dupont Ave S
Suite 301
Minneapolis, MN 55405-2700
Phone
(612) 824-9528
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP4107 MN
Marriage & Family Therapist 106H00000X 909 MN Primary

Addresses

Primary practice location

2124 Dupont Ave S
Suite 301
Minneapolis, MN 55405-2700

Mailing address

5441 Bryant Ave S
Minneapolis, MN 55419-1737
Phone (612) 824-9528

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
LP4107MNMDPsychologist
909MNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1538382767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 BRYANT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191737",
            "telephone_number": "612-824-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 DUPONT AVE S",
            "address_2": "SUITE 301",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052700",
            "telephone_number": "612-824-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGACZ",
        "first_name": "ELLEN",
        "middle_name": "UDINE",
        "name_prefix": "Dr.",
        "credential": "PH.D. LP MA  LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4107",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.