Individual provider Active NPI

Alyssa Logemann

  • Mental Health Counselor
  • Ames, IA
National Provider Identifier
1699206458
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
078867 Issued in IA
Practice address
420 Kellogg Ave
Ames, IA 50010-6226
Phone
(515) 233-3141
NPI assigned
Mar 23, 2017
Last updated
Mar 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 078867 IA Primary

Addresses

Primary practice location

420 Kellogg Ave
Ames, IA 50010-6226

Mailing address

420 Kellogg Ave
Ames, IA 50010-6226

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
078867IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Logemann LLC CurrentSince Jun 18, 2023 Accepting new patients
Youth and Shelter Services, Inc. Mental Health Past Accepting new patients

Locations

9910 Indian School Rd NE
Ste 201
Albuquerque, NM 87112
Phone (515) 423-4251

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/yss/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1699206458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 KELLOGG AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 KELLOGG AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106226",
            "telephone_number": "515-233-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGEMANN",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "078867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.