Individual provider Active NPI

Sydney Olivia Logan, LPC-ASSOCIATE

  • Counselor
  • Woodburn, OR
National Provider Identifier
1720729189
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1320 Meridian Dr
Woodburn, OR 97071-9668
Phone
(503) 498-5746
Fax
(503) 498-5810
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1320 Meridian Dr
Woodburn, OR 97071-9668

Mailing address

3500 Chad Dr Ste 350
Eugene, OR 97408-7602
Phone (541) 687-6983

Other names 1

  • Sydney Logan Taylor Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL wp.options.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20260603004356 OR Practitioner - Mental Health Counselor 8224509963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

360 E 10TH Ave
Suite 450
Eugene, OR 97401-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Options Counseling Services of Oregon CurrentSince Apr 10, 2022 Accepting new patients
Inner Room Somatic Therapy, LLC PastSince Apr 20, 2026 Accepting new patients

Locations

360 E 10th Ave
Ste 450
Eugene, OR 97401

2645 Portland Rd NE
Ste 120
Salem, OR 97301

1320 Meridian Dr
Woodburn, OR 97071
Phone (503) 498-5476

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1720729189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CHAD DR STE 350",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087602",
            "telephone_number": "541-687-6983",
            "fax_number": "541-684-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MERIDIAN DR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719668",
            "telephone_number": "503-498-5746",
            "fax_number": "503-498-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "SYDNEY",
        "middle_name": "OLIVIA",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wp.options.org",
            "affiliation": "N",
            "address_1": "1320 Meridian Dr",
            "city": "Woodburn",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970719668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "TAYLOR",
            "middle_name": "LOGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodburn, OR

Sources for this page

Verify at the official NPI Registry.