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MRS. JENNIFER D LOGAN PH.D, LCPC
NPI 1124370226
Counselor - Professional in Goodfield, IL

Active since October 12, 2012PECOS EnrolledAccepts Medicare Assignment
103 APPALOOSA CIR, GOODFIELD, IL 61742(309) 360-2268 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jennifer D Logan Ph.d, Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER D LOGAN PH.D, LCPC (NPI 1124370226) is an individual professional provider in Goodfield, Illinois, licensed in Illinois (180012370) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Canton, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124370226
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JENNIFER D LOGANCredential: PH.D, LCPC
Location Address103 APPALOOSA CIRGoodfield, IL 61742-9300
Mailing Address103 Appaloosa CirGoodfield, IL 61742-9300 · (309) 360-2268
Phone(309) 360-2268
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 12, 2012
Last NPPES UpdateSeptember 10, 2020
NPPES CertifiedSeptember 10, 2020
✔ NPI 1124370226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180012370✔ Licensed in IL · 178006924
103 APPALOOSA CIR, Goodfield, IL 61742
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Other Names 1

Former Name (1)Jennifer D Bridges

Secondary Practice Location 1

Location 1229 Martin AveCanton, IL 61520-2520 · Phone (309) 647-1881 · Fax (309) 647-1878

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer D Logan Ph.d, Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305285628
PECOS Enrollment IDI20240419001460
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Logan's NPI number?

The NPI number for Jennifer Logan is 1124370226. It was assigned to this individual provider in the NPPES registry on October 12, 2012. The provider is also known as Jennifer D Bridges.

Where is Jennifer Logan located?

Jennifer Logan practices at 103 Appaloosa Cir, Goodfield, IL 61742. The listed phone number is (309) 360-2268.

What is Jennifer Logan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Logan enrolled in Medicare?

Yes. Jennifer Logan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Logan was last updated on September 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.