Active NPI
Katherine Chiffon Logan, MA, CCC-SLP
- Speech-Language Pathologist
- Maitland, FL
National Provider Identifier
1972731040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA10539
- Practice address
- 125 S Swoope Ave Ste 210
Maitland, FL 32751-5784 - Phone
- (321) 972-4122
- NPI assigned
- Jun 29, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA10539 | FL | Primary |
Addresses
Primary practice location
125 S Swoope Ave Ste 210
Maitland, FL 32751-5784
Mailing address
PO Box 120547
Clermont, FL 34712-0547
Phone (352) 394-0212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010794900 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA10539 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gabriel Therapy Group | Speech-Language Pathologist | Current | Accepting new patients |
Locations
125 S Swoope Ave
Ste 210
Maitland, FL 32751
Phone (321) 972-4122
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1972731040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 120547",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347120547",
"telephone_number": "352-394-0212",
"fax_number": "352-241-6361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S SWOOPE AVE STE 210",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515784",
"telephone_number": "321-972-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "KATHERINE",
"middle_name": "CHIFFON",
"name_prefix": "Miss",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA10539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010794900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
- Katie Lucille Lippman, PA-C
- Mary Lipuma, LMHC
- Olivia Litwiller, LMHC
- Live Oak Behavioral Health PA (Live Oak Behavioral Health)
- Kara Lockcuff, PA-C
- Dawn Logas, DVM
- Logos Communication Specialists, LLC (Emmanuel Speech-Language Pathology)
- Rhonda Lollar, RN
- Princessa Jeanette Long, LMHC
- Sheanna Y Long
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.