Active NPI
Jessica Ann Logue, M.A., LPC
- Professional Counselor
- Hermitage, PA
National Provider Identifier
1811271471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC006045
- Practice address
- 40 Cohassett Dr
Hermitage, PA 16148-1750 - Phone
- (724) 346-5220
- Fax
- (724) 346-1433
- NPI assigned
- Sep 30, 2011
- 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 | PC006045 | PA | Primary |
Addresses
Primary practice location
40 Cohassett Dr
Hermitage, PA 16148-1750
Mailing address
40 Cohassett Dr
Hermitage, PA 16148-1750
Phone (724) 346-5220
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006045 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Counseling and Consulting Services | 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.
-
- Psychologist
- Hermitage, PA
- NPI 1114965720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1811271471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 COHASSETT DR",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161481750",
"telephone_number": "724-346-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 COHASSETT DR",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161481750",
"telephone_number": "724-346-5220",
"fax_number": "724-346-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGUE",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.