Active NPI
Logan Larson, LPC
- Professional Counselor
- Anchorage, AK
National Provider Identifier
1710385174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 864
- Practice address
- 307 E Northern Lights Blvd
Suite 201
Anchorage, AK 99503-2701 - Phone
- (907) 229-5029
- Fax
- (877) 992-7056
- NPI assigned
- Dec 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 864 | AK | Primary |
Addresses
Primary practice location
307 E Northern Lights Blvd
Suite 201
Anchorage, AK 99503-2701
Mailing address
307 E Northern Lights Blvd
Suite 201
Anchorage, AK 99503-2701
Phone (907) 229-5029
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
| License | State | Type | Specialty |
|---|---|---|---|
| 864 | AK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484438400000",
"number": "1710385174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 E NORTHERN LIGHTS BLVD",
"address_2": "SUITE 201",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032701",
"telephone_number": "907-229-5029",
"fax_number": "877-992-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E NORTHERN LIGHTS BLVD",
"address_2": "SUITE 201",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032701",
"telephone_number": "907-229-5029",
"fax_number": "877-992-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "LOGAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-16",
"last_updated": "2017-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.