Active NPI
Marie F Logan, LCPC
- Mental Health Counselor
- Sidney, MT
National Provider Identifier
1740344811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 572
- Practice address
- 221 5TH St SW
Sidney, MT 59270-4901 - Phone
- (406) 433-4635
- Fax
- (406) 433-8201
- NPI assigned
- Dec 21, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 572 | MT | Primary |
Addresses
Primary practice location
221 5TH St SW
Sidney, MT 59270-4901
Mailing address
221 5TH St SW
Sidney, MT 59270-4901
Phone (406) 433-4635
Other practice location 1
214 14th Ave SW
Sidney, MT 59270-3521
Phone (406) 488-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000255527 | Medicaid | MT |
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 |
|---|---|---|---|
| 572 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Montana Community Mental Health Center | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Miles City, MT
- NPI 1992786784
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1740344811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 5TH ST SW",
"city": "SIDNEY",
"state": "MT",
"postal_code": "592704901",
"telephone_number": "406-433-4635",
"fax_number": "406-433-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 5TH ST SW",
"city": "SIDNEY",
"state": "MT",
"postal_code": "592704901",
"telephone_number": "406-433-4635",
"fax_number": "406-433-8201"
}
],
"practiceLocations": [
{
"address_1": "214 14th Ave SW",
"address_purpose": "LOCATION",
"city": "Sidney",
"state": "MT",
"postal_code": "592703521",
"country_code": "US",
"telephone_number": "406-488-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOGAN",
"first_name": "MARIE",
"middle_name": "F",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000255527",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sidney, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.