LOGAN SCOTT NICKERSON
NPI 1427919869
Counselor - Mental Health in Peoria, IL

Active since November 24, 2025
7820 N UNIVERSITY ST, PEORIA, IL 61614(309) 202-2208 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Logan Scott Nickerson NPPES

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

LOGAN SCOTT NICKERSON (NPI 1427919869) is an individual mental health provider in Peoria, Illinois and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1427919869
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLOGAN SCOTT NICKERSON
Location Address7820 N UNIVERSITY STPeoria, IL 61614-1220
Mailing Address1717 W Bradley AvePeoria, IL 61606-1055
Sole ProprietorNo
Enumeration DateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
NPI 1427919869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7820 N UNIVERSITY ST, Peoria, IL 61614

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 (Professional)
7820 N UNIVERSITY ST, STE.207
PEORIA, IL 61614
Counselor (Professional)
7820 N UNIVERSITY ST, SUITE 207
PEORIA, IL 61614
Home Health
7820 N UNIVERSITY ST, SUITE 106
PEORIA, IL 61614
Social Worker (Clinical)
7820 N UNIVERSITY ST, SUITE 101
PEORIA, IL 61614
Counselor (Mental Health)
7820 N UNIVERSITY ST, SUITE 101
PEORIA, IL 61614
Home Health
7820 N UNIVERSITY ST
PEORIA, IL 61614

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 Nickerson's NPI number?

The NPI number for Logan Nickerson is 1427919869. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Logan Nickerson located?

Logan Nickerson practices at 7820 N University St, Peoria, IL 61614. The listed phone number is (309) 202-2208.

What is Logan Nickerson'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 Nickerson was last updated on November 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.