MISS MARIAH LYN LOGAN LPC,LCPC
NPI 1306474549
Counselor - Professional in Creve Coeur, MO

Active since April 01, 2020
11500 OLIVE BLVD STE 176, CREVE COEUR, MO 63141(618) 972-1568(618) 205-3561 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2024, Apr 1, 2020 (2 updates tracked since 2020).

About Miss Mariah Lyn Logan Lpc,lcpc NPPES

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

MISS MARIAH LYN LOGAN LPC,LCPC (NPI 1306474549) is an individual professional provider in Creve Coeur, Missouri, licensed in Missouri (2023048395) and active in the NPI registry since April 2020. She maintains a secondary practice location in Taunton.

NPPES Registry Identity

NPI1306474549
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS MARIAH LYN LOGANCredential: LPC,LCPC
Location Address11500 OLIVE BLVD STE 176Creve Coeur, MO 63141-7147
Mailing Address207 Glen Meadow RdFranklin, MA 02038-1341 · (314) 541-4618
Fax(618) 205-3561
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateMarch 15, 20242 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
NPI 1306474549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in MO · 2023048395 Licensed in IL · 180.014691
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
11500 OLIVE BLVD STE 176, Creve Coeur, MO 63141

Secondary Practice Location 1

Location 119 Cedar StTaunton, MA 02780-3301 · Phone (508) 823-6124 · Fax (508) 880-6507

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
11500 OLIVE BLVD STE 176
CREVE COEUR, MO 63141
Counselor (Professional)
11500 OLIVE BLVD STE 176
CREVE COEUR, MO 63141

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 Mariah Logan's NPI number?

The NPI number for Mariah Logan is 1306474549. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Mariah Logan located?

Mariah Logan practices at 11500 Olive Blvd Ste 176, Creve Coeur, MO 63141. The listed phone number is (618) 972-1568.

What is Mariah Logan's specialty?

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

What insurance does Mariah Logan accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Mariah Logan 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 Mariah Logan was last updated on March 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.