Individual provider Active NPI

Jennifer Keely Logston, MSW, LCSW

  • Clinical Social Worker
  • Downers Grove, IL
National Provider Identifier
1841304094
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149008632 Issued in IL
Practice address
603 Rogers St FL 2
Downers Grove, IL 60515-3774
Phone
(630) 528-8855
Fax
(331) 291-5116
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149008632 IL Primary

Addresses

Primary practice location

603 Rogers St FL 2
Downers Grove, IL 60515-3774

Mailing address

900 Ogden Ave # 112
Downers Grove, IL 60515-2829
Phone (630) 528-8855

Other identifiers 1

IdentifierTypeStateIssuer
0002225381OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170404001927 IL Practitioner - Clinical Social Worker 6305122458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer Logston Counseling LTDGroup PAC ID 2769768811, 3 clinicians

Practice addresses (Care Compare)

5010 Fairview Ave
Suite 5
Downers Grove, IL 60515-5201
Phone (630) 528-8855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149008632ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Logston Counseling LTD Clinical CurrentSince Feb 18, 2017 Accepting new patients
Mosaic Mind Counseling LLC Clinical Past Accepting new patients

Locations

900 Ogden Ave
Downers Grove, IL 60515
Phone (773) 234-0388

728 Ogden Ave
Ste E
Downers Grove, IL 60515
Phone (630) 528-8855

5010 Fairview Ave
Ste 5
Downers Grove, IL 60515
Phone (630) 528-8855

603 Rogers St
Fl 2
Downers Grove, IL 60515
Phone (630) 528-8855

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1841304094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OGDEN AVE # 112",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152829",
            "telephone_number": "630-528-8855",
            "fax_number": "630-541-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 ROGERS ST FL 2",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153774",
            "telephone_number": "630-528-8855",
            "fax_number": "331-291-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSTON",
        "first_name": "JENNIFER",
        "middle_name": "KEELY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0002225381",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.