Active NPI
Jesse Logue, M.S.
- Psychologist
- Carmel, IN
National Provider Identifier
1588071237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 12650 Hamilton Crossing Blvd
Carmel, IN 46032-5400 - Phone
- (317) 249-2242
- Fax
- (442) 896-7988
- NPI assigned
- Jul 15, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20043337B | IN | |
| Behavior Analyst | 103K00000X | 1-14-17462 | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
12650 Hamilton Crossing Blvd
Carmel, IN 46032-5400
Mailing address
2931 E Biddle St
Baltimore, MD 21213-3939
Phone (443) 923-1886
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043337B | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Star Center, Inc. | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Carmel, IN
- NPI 1285804732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1588071237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2931 E BIDDLE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212133939",
"telephone_number": "443-923-1886",
"fax_number": "443-923-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12650 HAMILTON CROSSING BLVD",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325400",
"telephone_number": "317-249-2242",
"fax_number": "442-896-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGUE",
"first_name": "JESSE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-15",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20043337B",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-14-17462",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.