Active NPI
Logan Brooke Carnes, LPCA
- Counselor
- Barbourville, KY
National Provider Identifier
1871086280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 243367
- Practice address
- 415 Ky 225
Barbourville, KY 40906 - Phone
- (859) 209-2340
- Fax
- (606) 545-9555
- NPI assigned
- Jun 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | 243367 | KY | Primary |
Addresses
Primary practice location
415 Ky 225
Barbourville, KY 40906
Mailing address
PO Box 1479
Barbourville, KY 40906-5479
Phone (859) 209-2340
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 |
|---|---|---|---|
| 243367 | KY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spero Health of Kentucky, 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 and National Provider Directory roles.
-
- Addiction Medicine (Family Medicine) Physician
- Danville, KY
- NPI 1982102109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1871086280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1479",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409065479",
"telephone_number": "859-209-2340",
"fax_number": "606-545-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 KY 225",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "40906",
"telephone_number": "859-209-2340",
"fax_number": "606-545-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNES",
"first_name": "LOGAN",
"middle_name": "BROOKE",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "243367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.