Individual provider Active NPI

Logan Avena

  • Professional Counselor
  • Norristown, PA
National Provider Identifier
1922804947
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC018242 Issued in PA
Practice address
1100 Powell St
Norristown, PA 19401-3820
Phone
(610) 277-8275
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC018242 PA Primary

Addresses

Primary practice location

1100 Powell St
Norristown, PA 19401-3820

Mailing address

27 Victoria LN
Ocean View, NJ 08230-1450
Phone (609) 437-4045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250410001912 PA Practitioner - Mental Health Counselor 5092239103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Philadelphia College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Behavioral HealthGroup PAC ID 0941109730, 31 clinicians

Practice addresses (Care Compare)

1100 Powell St
Norristown, PA 19401-3820
Phone (610) 277-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC018242PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Behavioral Health CurrentSince Mar 25, 2025 Accepting new patients

Locations

1100 Powell St
Norristown, PA 19401
Phone (484) 806-2012

1201 DeKalb St
Norristown, PA 19401
Phone (610) 277-4600

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": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1922804947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 VICTORIA LN",
            "city": "OCEAN VIEW",
            "state": "NJ",
            "postal_code": "082301450",
            "telephone_number": "609-437-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 POWELL ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013820",
            "telephone_number": "610-277-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENA",
        "first_name": "LOGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.