JAKE THOMAS LOGSDON TCADC
NPI 1174221766
Counselor - Addiction (Substance Use Disorder) in Campbellsville, KY

Active since February 22, 2023
830 W BROADWAY ST, CAMPBELLSVILLE, KY 42718(866) 934-7450 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jake Thomas Logsdon Tcadc NPPES

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

JAKE THOMAS LOGSDON TCADC (NPI 1174221766) is an individual addiction (substance use disorder) provider in Campbellsville, Kentucky, licensed in Kentucky (275818) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1174221766
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJAKE THOMAS LOGSDONCredential: TCADC
Location Address830 W BROADWAY STCampbellsville, KY 42718-2701
Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600
Sole ProprietorNo
Enumeration DateFebruary 22, 2023
NPPES CertifiedFebruary 22, 2023
NPI 1174221766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in KY · 275818
830 W BROADWAY ST, Campbellsville, KY 42718

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.

Social Worker (Clinical)
830 W BROADWAY ST
CAMPBELLSVILLE, KY 42718
Counselor (Addiction (Substance Use Disorder))
830 W BROADWAY ST
CAMPBELLSVILLE, KY 42718
Counselor (Mental Health)
830 W BROADWAY ST
CAMPBELLSVILLE, KY 42718
Case Manager/Care Coordinator
830 W BROADWAY ST
CAMPBELLSVILLE, KY 42718
Counselor (Professional)
830 W BROADWAY ST
CAMPBELLSVILLE, KY 42718
Social Worker (Clinical)
830 W BROADWAY ST
CAMPBELLSVILLE, KY 42718

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 Jake Logsdon's NPI number?

The NPI number for Jake Logsdon is 1174221766. It was assigned to this individual provider in the NPPES registry on February 22, 2023.

Where is Jake Logsdon located?

Jake Logsdon practices at 830 W Broadway St, Campbellsville, KY 42718. The listed phone number is (866) 934-7450.

What is Jake Logsdon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jake Logsdon was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.