LOGAN JAMES CLARK
NPI 1508680042
Counselor in Ogden, UT

Active since November 12, 2024PECOS Enrolled

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

Record update history: Jun 5, 2026, Nov 12, 2024 (2 updates tracked since 2024).

About Logan James Clark NPPES

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

LOGAN JAMES CLARK (NPI 1508680042) is an individual counselor in Ogden, Utah, licensed in Utah (102481796004) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508680042
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameLOGAN JAMES CLARK
Location Address237 26TH STOgden, UT 84401-3105
Mailing Address237 26th StOgden, UT 84401-3105 · (801) 625-3700
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 12, 2024
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1508680042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in UT · 102481796004
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
237 26TH ST, Ogden, UT 84401

Other Identifiers 3

Medicaid8760003008007UT
Other000055266UT · Medicare Pin
Other260022408UT · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Logan James Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345710034
PECOS Enrollment IDI20260522001109
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Registered Nurse (Psychiatric/Mental Health, Adult)
237 26TH ST
OGDEN, UT 84401
Counselor (Professional)
237 26TH ST
OGDEN, UT 84401
Case Manager/Care Coordinator
237 26TH ST
OGDEN, UT 84401
Case Manager/Care Coordinator
237 26TH ST
OGDEN, UT 84401
Registered Nurse (Psychiatric/Mental Health)
237 26TH ST
OGDEN, UT 84401
Community Health Worker
237 26TH ST
OGDEN, UT 84401
Case Management
237 26TH ST
OGDEN, UT 84401
Counselor (Professional)
237 26TH ST
OGDEN, UT 84401

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 Clark's NPI number?

The NPI number for Logan Clark is 1508680042. It was assigned to this individual provider in the NPPES registry on November 12, 2024.

Where is Logan Clark located?

Logan Clark practices at 237 26th St, Ogden, UT 84401. The listed phone number is (801) 625-3700.

What is Logan Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Logan Clark enrolled in Medicare?

Yes. Logan Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Logan Clark was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.