Active NPI
Logan Katseanes, MS, LCPC, NCC
- Professional Counselor
- Meridian, ID
National Provider Identifier
1962852947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-9537
- Practice address
- 2855 Model Farm Dr
Meridian, ID 83642-6531 - Phone
- (208) 866-4688
- NPI assigned
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC-9537 | ID | Primary |
Addresses
Primary practice location
2855 Model Farm Dr
Meridian, ID 83642-6531
Mailing address
2855 Model Farm Dr
Meridian, ID 83642-6531
Phone (208) 866-4688
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-9537 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Counseling and Neurofeedback | Current | Accepting new patients |
Locations
3348 E Goldstone Dr
Meridian, ID 83642
Phone (208) 571-2210
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.
-
- Mental Health Counselor
- Meridian, ID
- NPI 1528714144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1962852947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 MODEL FARM DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426531",
"telephone_number": "208-866-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 MODEL FARM DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426531",
"telephone_number": "208-866-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSEANES",
"first_name": "LOGAN",
"credential": "MS, LCPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-21",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-9537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.