Jesse Thomas Logan, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LCM422 Issued in MD

Practice address

8901 Wisconsin Ave
BLDG. 19, 6504
Bethesda, MD 20889-5600

Phone

(301) 400-1928

NPI assigned

Dec 20, 2006

Last updated

Oct 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1609930395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16070 A E MULLINIX RD",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978438",
            "telephone_number": "410-489-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "BLDG. 19, 6504",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895600",
            "telephone_number": "301-400-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JESSE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "LC2001",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zohra Lodin, MD
• Maya Lodish, M.D.
• Kathleen Rose Loebach, DPT
• Luke Loftin, RN
• Emily Vaughn Logan
• Kristina Logan, APRN
• Nicholas Foster Logemann, DO
• Lohas Acupuncture LLC
• Michael F Loncharich, MD
• Caroline Loney

• Marriage & Family Therapist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Marriage & Family Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.