LOGAN SPICER
NPI 1770140949
Counselor - Professional in Westchester, IL

Active since May 23, 2019PECOS EnrolledAccepts Medicare Assignment
9855 W ROOSEVELT RD, WESTCHESTER, IL 60154(708) 681-2325 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2023, May 23, 2019 (2 updates tracked since 2019).

About Logan Spicer NPPES

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

LOGAN SPICER (NPI 1770140949) is an individual professional provider in Westchester, Illinois, licensed in Illinois (180015338) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770140949
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLOGAN SPICER
Location Address9855 W ROOSEVELT RDWestchester, IL 60154-2758
Mailing Address3123 S Shields Ave Apt BsmtChicago, IL 60616-4967 · (317) 619-9225
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 23, 2019
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
NPI 1770140949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180015338
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License NONE
9855 W ROOSEVELT RD, Westchester, IL 60154

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Logan Spicer is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658723564
PECOS Enrollment IDI20240116003945
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 11

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

Counselor (Mental Health)
9855 W ROOSEVELT RD
WESTCHESTER, IL 60154
Counselor (Mental Health)
9855 W ROOSEVELT RD
WESTCHESTER, IL 60154
Internal Medicine
9855 W ROOSEVELT RD
WESTCHESTER, IL 60154
Counselor (Mental Health)
9855 W ROOSEVELT RD
WESTCHESTER, IL 60154
Clinic/Center (Mental Health (Including Community Mental Health Center))
9855 W ROOSEVELT RD
WESTCHESTER, IL 60154
Counselor (Mental Health)
9855 W ROOSEVELT RD
WESTCHESTER, IL 60154
Counselor (Mental Health)
9855 W ROOSEVELT RD
WESTCHESTER, IL 60154
Counselor (Mental Health)
9855 W ROOSEVELT RD
WESTCHESTER, IL 60154

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 Spicer's NPI number?

The NPI number for Logan Spicer is 1770140949. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Logan Spicer located?

Logan Spicer practices at 9855 W Roosevelt Rd, Westchester, IL 60154. The listed phone number is (708) 681-2325.

What is Logan Spicer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Logan Spicer enrolled in Medicare?

Yes. Logan Spicer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Logan Spicer was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.