LOGAN J. ELLOWSKY MSED
NPI 1144759184
Marriage & Family Therapist in Fort Wayne, IN

Active since June 05, 2017PECOS Enrolled
4646 W JEFFERSON BLVD STE 100, FORT WAYNE, IN 46804(260) 436-0932(260) 436-1185 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2020, Mar 3, 2020, Jun 5, 2017 (3 updates tracked since 2017).

About Logan J. Ellowsky Msed NPPES

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

LOGAN J. ELLOWSKY MSED (NPI 1144759184) is an individual marriage & family therapist in Fort Wayne, Indiana, licensed in Indiana (35002104A) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia City.

NPPES Registry Identity

NPI1144759184
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameLOGAN J. ELLOWSKYCredential: MSED
Location Address4646 W JEFFERSON BLVD STE 100Fort Wayne, IN 46804-6832
Mailing Address240 N Tillotson AveMuncie, IN 47304-3988
Fax(260) 436-1185
Sole ProprietorNo
Enumeration DateJune 5, 2017
Last NPPES UpdateJune 16, 20203 updates tracked since enumeration
NPPES CertifiedJune 16, 2020
✔ NPI 1144759184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in IN · 35002104A
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4646 W JEFFERSON BLVD STE 100, Fort Wayne, IN 46804

Secondary Practice Location 1

Location 1119 W Market StColumbia City, IN 46725-2311 · Phone (260) 248-8176

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan J. Ellowsky Msed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Logan Ellowsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
201 E RUDISILL BLVD
Fort Wayne, IN 46806
  • Reassigned Medicare billing, Indiana enrollment
  • 260 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2020 MCKINNIE AVE
Fort Wayne, IN 46806
  • Reassigned Medicare billing, Indiana enrollment
  • 322 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

Counselor
4646 W JEFFERSON BLVD STE 100
FORT WAYNE, IN 46804
Counselor (Mental Health)
4646 W JEFFERSON BLVD STE 100
FORT WAYNE, IN 46804
Social Worker
4646 W JEFFERSON BLVD STE 100
FORT WAYNE, IN 46804
Counselor (Mental Health)
4646 W JEFFERSON BLVD STE 100
FORT WAYNE, IN 46804
Social Worker (Clinical)
4646 W JEFFERSON BLVD STE 100
FORT WAYNE, IN 46804
Marriage & Family Therapist
4646 W JEFFERSON BLVD STE 100
FORT WAYNE, IN 46804

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 Ellowsky's NPI number?

The NPI number for Logan Ellowsky is 1144759184. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Logan Ellowsky located?

Logan Ellowsky practices at 4646 W Jefferson Blvd Ste 100, Fort Wayne, IN 46804. The listed phone number is (260) 436-0932.

What is Logan Ellowsky's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Logan Ellowsky enrolled in Medicare?

Yes. Logan Ellowsky is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Logan Ellowsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Ellowsky reassigns Medicare benefits to 2 organizations: Bowen Health Inc (Fort Wayne, IN) and Meridian Health Services Corp. (Fort Wayne, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Logan Ellowsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Logan Ellowsky accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Logan Ellowsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan Ellowsky was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.