Individual provider Active NPI

Mikayla Logue

  • Counselor
  • Spokane, WA
National Provider Identifier
1992499065
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LH61659992 Issued in WA
Practice address
140 S Arthur St Ste 500
Spokane, WA 99202-2260
Phone
(509) 744-1117
Fax
(509) 744-3055
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LH61659992 WA Primary

Addresses

Primary practice location

140 S Arthur St Ste 500
Spokane, WA 99202-2260

Mailing address

140 S Arthur St Ste 500
Spokane, WA 99202-2260
Phone (509) 744-1117

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

LicenseStateTypeSpecialty
LH61659992WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Renfrew LLC Dba Center for Family Development CurrentSince Jun 29, 2025 Accepting new patients
Harrison Renfrew LLC CurrentSince Apr 27, 2025 Accepting new patients

Locations

140 S Arthur St
Ste 500
Spokane, WA 99202
Phone (509) 443-6149

Organizations & group practices 2

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": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1992499065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S ARTHUR ST STE 500",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022260",
            "telephone_number": "509-744-1117",
            "fax_number": "509-954-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S ARTHUR ST STE 500",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022260",
            "telephone_number": "509-744-1117",
            "fax_number": "509-744-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "MIKAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH61659992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.