1. Home
  2. Directory
  3. New Jersey
  4. Lyndhurst
  5. Counselor
  6. NPI Profile

SHANNON LOGAN LAC
NPI 1508424060
Counselor - Mental Health in Lyndhurst, NJ

Active since May 30, 2019
1050 WALL ST W STE 310, LYNDHURST, NJ 07071(732) 982-2888(847) 859-5885 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Logan Lac NPPES

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

SHANNON LOGAN LAC (NPI 1508424060) is an individual mental health provider in Lyndhurst, New Jersey, licensed in New Jersey (37AC00293400) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1508424060
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON LOGANCredential: LAC
Location Address1050 WALL ST W STE 310Lyndhurst, NJ 07071-3615
Mailing Address175 E Hawthorn Pkwy Ste 235Vernon Hills, IL 60061-1454 · (847) 737-8768 · Fax (847) 859-5885
Phone(732) 982-2888
Fax(847) 859-5885
Sole ProprietorNo
Enumeration DateMay 30, 2019
✔ NPI 1508424060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00293400
1050 WALL ST W STE 310, Lyndhurst, NJ 07071
Open in Google Maps ↗

Other Providers at the Same Location NPPES 19

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

ANNE-MARIE IRENE URBANSKI LPC
Counselor (Professional)
1050 WALL ST W STE 310
LYNDHURST, NJ 07071
Bergen County (732) 982-2888
THOMAS ANTHONY CRANGLE LCSW
Social Worker (Clinical)
1050 WALL ST W STE 310
LYNDHURST, NJ 07071
Bergen County (732) 982-2888
VERONICA C CRUZ-MARTINEZ LMFT
Marriage & Family Therapist
1050 WALL ST W STE 310
LYNDHURST, NJ 07071
Bergen County (408) 294-0500
LARISSA RANGLIN LPC
Counselor (Professional)
1050 WALL ST W STE 310
LYNDHURST, NJ 07071
Bergen County (732) 982-2888
NIDHI SHAH
Counselor (Professional)
1050 WALL ST W STE 310
LYNDHURST, NJ 07071
Bergen County (732) 982-2888
BETHNY GABRIELLA BROWN LPC
Counselor (Professional)
1050 WALL ST W STE 310
LYNDHURST, NJ 07071
Bergen County (732) 982-2888
ALEXANDRA ROMERO
Counselor (Professional)
1050 WALL ST W STE 310
LYNDHURST, NJ 07071
Bergen County (555) 525-9056
KARDELEN DOGAN LPC
Counselor (Professional)
1050 WALL ST W STE 310
LYNDHURST, NJ 07071
Bergen County (732) 982-2888

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 Shannon Logan's NPI number?

The NPI number for Shannon Logan is 1508424060. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Shannon Logan located?

Shannon Logan practices at 1050 Wall St W Ste 310, Lyndhurst, NJ 07071. The listed phone number is (732) 982-2888.

What is Shannon Logan'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 Shannon Logan was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.