Active NPI
Jennifer Rose Logan, LPC
- Counselor
- Helena, AL
National Provider Identifier
1861763948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3209
- Practice address
- 316 Chadwick PL
Helena, AL 35080-3141 - Phone
- (318) 680-9870
- NPI assigned
- Jan 20, 2012
- Last updated
- Feb 11, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3209 | AL | Primary |
Addresses
Primary practice location
316 Chadwick PL
Helena, AL 35080-3141
Mailing address
316 Chadwick PL
Helena, AL 35080-3141
Phone (318) 680-9870
Other names 1
- Jennifer Watson
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 |
|---|---|---|---|
| 3209 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stiltner Counseling LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1861763948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 CHADWICK PL",
"city": "HELENA",
"state": "AL",
"postal_code": "350803141",
"telephone_number": "318-680-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 CHADWICK PL",
"city": "HELENA",
"state": "AL",
"postal_code": "350803141",
"telephone_number": "318-680-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "JENNIFER",
"middle_name": "ROSE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-20",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "3209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WATSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Helena, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.