Mrs Jennifer D Logan, PHD, LCPC is a
Counselor - Professional based in Goodfield, Illinois. Mrs Jennifer D Logan is licensed to practice in Illinois (license number 180012370) and her current practice location is
103 Appaloosa Cir, Goodfield, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 360-2268.
NPI number for Mrs Jennifer D Logan is 1124370226 and her current mailing address is 103 Appaloosa Cir, Goodfield, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124370226.
Healthcare Provider's Profile
Full Name | Mrs Jennifer D Logan |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 103 Appaloosa Cir, Goodfield, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124370226
- Provider Enumeration Date: 10/12/2012
- Last Update Date: 09/10/2020
Medical Identifiers
Medical identifiers for Mrs Jennifer D Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124370226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 178006924 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180012370 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer D Logan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jennifer D Logan, PHD, LCPC 103 Appaloosa Cir, Goodfield, IL 61742-9300 Ph: (309) 360-2268 | Mrs Jennifer D Logan, PHD, LCPC 103 Appaloosa Cir, Goodfield, IL 61742-9300 Ph: (309) 360-2268 |
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