LOGAN SCOTT NICKERSON
NPI 1427919869
Counselor - Mental Health in Peoria, IL
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
Specialties & Licenses
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.
PEORIA, IL 61614
PEORIA, IL 61614
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.