Michele K Logan, M.S. LCPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5351 Issued in MD

Practice address

613 Ridgely Ave
Annapolis, MD 21401-1069

Phone

(443) 764-7490

NPI assigned

Nov 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Space Counseling

  • Professional Counselor
  • Annapolis, MD
  • NPI 1316652001

  Mental Health

  NPD Authorized official
• Arundel Mental Health Professionals L.C.

  dba LifeStance Health

  • Clinical Psychologist
  • Arnold, MD
  • NPI 1073649521
  NPD (past)
• Arundel Mental Health Professionals LLC

  dba LifeStance Health

  • Clinical Psychologist
  • Annapolis, MD
  • NPI 1649906496
  NPD (past)

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1770828089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 RIDGELY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011069",
            "telephone_number": "443-764-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 RIDGELY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011069",
            "telephone_number": "443-764-7490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1997 Annapolis Exchange Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013273",
            "country_code": "US",
            "telephone_number": "443-764-7490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Bestgate Rd Ste 325",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214014291",
            "country_code": "US",
            "telephone_number": "443-906-3506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "MICHELE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "M.S. LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Health Integrative Medicine LLC
• Megan Lococo
• Melissa Jean Lodhi, PT
• Erin Loeliger
• Susan D. Loftis, LCSW-C
• Hayley Marie Loiselle, PA
• Craig Eugene Long, PHARM D.
• Nancy Ann Long, CRNP
• Samuel E Long Jr., MD
• Kari Shannon Lopes, PT

• Professional Counselor in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.