Carol Ann Logan-Brummer, MA. LMHC,CADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001129 Issued in IA

Practice address

202 S 1St Ave
Logan, IA 51546

Phone

(402) 281-3278

Fax

(402) 509-6076

NPI assigned

Aug 15, 2005

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Carol Ann Brummer Former name

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy Place IncGroup PAC ID 8628042983, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanctuary Recovery Ministries PC

  • Mental Health Counselor
  • Logan, IA
  • NPI 1396565230
  Medicare reassignment NPD Authorized official
• Therapy Place, Inc.

  • Clinical Social Worker
  • Atlantic, IA
  • NPI 1194886028
  Medicare reassignment Care Compare group NPD
• Candella

  • Clinical Social Worker
  • Council Bluffs, IA
  • NPI 1619455847
  NPD

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1669464897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAROL LOGAN-BRUMMER",
            "address_2": "202 SOUTH 1ST AVE",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "51546",
            "telephone_number": "402-281-3278",
            "fax_number": "402-509-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 1ST AVE",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "51546",
            "telephone_number": "402-281-3278",
            "fax_number": "402-509-6076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 E Kanesville Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515034403",
            "country_code": "US",
            "telephone_number": "402-281-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN-BRUMMER",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA. LMHC,CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "CADC 035092",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "BRUMMER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MA, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Beth James, PLMHP, TCADC
• Kismet LGN, LLC (Westmont Care Center)
• Kismet LGN, LLC (WEL-Home health Logan)
• Logan Magnolia School
• Logan Volunteer Fire & Rescue Association (Logan Fire Rescue Association)
• Brittany Michelle Long
• Haleigh Anne Mann
• Mosaic
• Mosaic
• Mosaic

• Mental Health Counselor in Logan, IA
• Providers in Logan, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.

Verify at the official NPI Registry.