LOGAN KERMICLE LPN
NPI 1144739194
Counselor - Mental Health in Lawrenceville, IL

Active since September 21, 2017
11020 STATE ROUTE 250, LAWRENCEVILLE, IL 62439(618) 943-3654(618) 943-3657 Get Directions Write a Review

NPPES record last updated: September 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Logan Kermicle Lpn NPPES

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

LOGAN KERMICLE LPN (NPI 1144739194) is an individual mental health provider in Lawrenceville, Illinois and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1144739194
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLOGAN KERMICLECredential: LPN
Location Address11020 STATE ROUTE 250Lawrenceville, IL 62439
Mailing AddressP.o. Box 516, 11020 State Route 250Lawrenceville, IL 62439 · (618) 943-3754 · Fax (618) 943-3657
Fax(618) 943-3657
Sole ProprietorNo
Enumeration DateSeptember 21, 2017
NPI 1144739194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11020 STATE ROUTE 250, Lawrenceville, IL 62439

Other Identifiers 1

Medicaid376006178008IL

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Family Medicine
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
11020 STATE ROUTE 250
LOWRENCEVILLE, IL 62439
Counselor (Professional)
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439

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 Logan Kermicle's NPI number?

The NPI number for Logan Kermicle is 1144739194. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Logan Kermicle located?

Logan Kermicle practices at 11020 State Route 250, Lawrenceville, IL 62439. The listed phone number is (618) 943-3654.

What is Logan Kermicle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Logan Kermicle was last updated on September 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.