Active NPI
Sydney Olivia Logan, LPC-ASSOCIATE
- Counselor
- Woodburn, OR
National Provider Identifier
1720729189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
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 |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Options Counseling Services of Oregon | Current | Accepting new patients | |
| Inner Room Somatic Therapy, LLC | Past | 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.
-
- Mental Health Counselor
- Eugene, OR
- NPI 1548275217
-
- Professional Counselor
- Eugene, OR
- NPI 1073241030
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.