Individual provider Active NPI

Donna Jean Logston, LPC

  • Mental Health Counselor
  • Tempe, AZ
National Provider Identifier
1699876516
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC10375 Issued in AZ
Practice address
4525 S Lakeshore Dr Ste 102
Tempe, AZ 85282-7047
Phone
(480) 755-7875
Fax
(480) 775-0660
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LPC10375 AZ Primary

Addresses

Primary practice location

4525 S Lakeshore Dr Ste 102
Tempe, AZ 85282-7047

Mailing address

4525 S Lakeshore Dr Ste 102
14122 W. McDowell Rd. #103C, Goodyear, Az 85338
Tempe, AZ 85282-7047
Phone (480) 755-7875

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
LPC10375AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699876516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 S LAKESHORE DR STE 102",
            "address_2": "14122 W. MCDOWELL RD. #103C, GOODYEAR, AZ 85338",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827047",
            "telephone_number": "480-755-7875",
            "fax_number": "480-775-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 S LAKESHORE DR STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827047",
            "telephone_number": "480-755-7875",
            "fax_number": "480-775-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSTON",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC10375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.