NPIMap

Organization Active NPI

Logan Professional Counseling Services

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Logan, WV
National Provider Identifier
1851047385
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
LOGAN PROFESSIONAL COUNSELING SERVICES
Doing business as
Logan Professional Counseling Services
Practice address
101 Dingess St
Logan, WV 25601-3603
Phone
(304) 688-9269
Fax
(681) 495-1522
NPI assigned
Feb 23, 2022
Last updated
Feb 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Lisa Meade, M.EDNPI 1568954782
Title
Owner
Phone
(304) 688-9269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

101 Dingess St
Logan, WV 25601-3603

Mailing address

710 Stratton St
Logan, WV 25601-4015
Phone (304) 688-9269

Other names 1

  • Logan Professional Counseling Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Logan Professional Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Dingess St
Logan, WV 25601
Phone (304) 688-9269

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1851047385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 STRATTON ST",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256014015",
            "telephone_number": "304-688-9269",
            "fax_number": "681-495-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DINGESS ST",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013603",
            "telephone_number": "304-688-9269",
            "fax_number": "681-495-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN PROFESSIONAL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "MEADE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-688-9269",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan Professional Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.