KERIN E LOGSTROM MA, LMFT
NPI 1447543574
Marriage & Family Therapist in Wayzata, MN

Q: What is Kerin Logstrom's NPI number?

The NPI number for Kerin Logstrom is 1447543574. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Q: What is Kerin Logstrom's specialty?

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

Q: Is Kerin Logstrom enrolled in Medicare?

No. Kerin Logstrom has opted out of Medicare through January 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kerin Logstrom was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 23, 2011Opted out of Medicare · through Jan 18, 2028

1001 TWELVE OAKS CENTER DR STE 1030E, WAYZATA, MN 55391(952) 457-5704(612) 233-0045 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kerin E Logstrom Ma, Lmft NPPES

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

KERIN E LOGSTROM MA, LMFT (NPI 1447543574) is an individual marriage & family therapist in Wayzata, Minnesota, licensed in Minnesota (2489) and active in the NPI registry since May 2011. She has opted out of Medicare through January 18, 2028.

NPPES Registry Identity

NPI1447543574

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKERIN E LOGSTROMCredential: MA, LMFT

Location Address1001 TWELVE OAKS CENTER DR STE 1030EWayzata, MN 55391-4320

Mailing Address506 Holly CirWayzata, MN 55391-1369 · (952) 457-5704 · Fax (612) 233-0045

Phone(952) 457-5704

Fax(612) 233-0045

Sole ProprietorYes

Enumeration DateMay 23, 2011

Last NPPES UpdateMarch 5, 2021

NPPES CertifiedMarch 5, 2021

✔ NPI 1447543574 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 MN · 2489

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.

1001 TWELVE OAKS CENTER DR STE 1030E, Wayzata, MN 55391

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kerin E Logstrom Ma, Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 18, 2024 through January 18, 2028.

Opt-Out Effective DateJanuary 18, 2024

Opt-Out In Effect ThroughJanuary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

WICK PSYCHOTHERAPY

Clinic/Center (Adult Mental Health)

1001 TWELVE OAKS CENTER DR STE 1030E
WAYZATA, MN 55391

Hennepin County (612) 910-3108

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 Kerin Logstrom's NPI number?

The NPI number for Kerin Logstrom is 1447543574. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Where is Kerin Logstrom located?

Kerin Logstrom practices at 1001 Twelve Oaks Center Dr Ste 1030E, Wayzata, MN 55391. The listed phone number is (952) 457-5704.

What is Kerin Logstrom's specialty?

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

Is Kerin Logstrom enrolled in Medicare?

No. Kerin Logstrom has opted out of Medicare through January 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kerin Logstrom was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.