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MS. GAYLE VENCE LOGAN MA,LMSW,LPC
NPI 1821377854
Counselor - Professional in Philadelphia, PA

Active since August 09, 2011PECOS EnrolledAccepts Medicare Assignment
2449 GOLF RD STE 14, PHILADELPHIA, PA 19131(215) 477-3103(215) 477-3104 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Gayle Vence Logan Ma,lmsw,lpc NPPES

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

MS. GAYLE VENCE LOGAN MA,LMSW,LPC (NPI 1821377854) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC005429) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1821377854
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. GAYLE VENCE LOGANCredential: MA,LMSW,LPC
Location Address2449 GOLF RD STE 14Philadelphia, PA 19131-1475
Mailing Address2449 Golf Rd Ste 14Philadelphia, PA 19131-1475 · (215) 477-3103 · Fax (215) 477-3104
Phone(215) 477-3103
Fax(215) 477-3104
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 9, 2011
✔ NPI 1821377854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC005429
2449 GOLF RD STE 14, Philadelphia, PA 19131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Gayle Vence Logan Ma,lmsw,lpc 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 ID7618194390
PECOS Enrollment IDI20240521003820
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.

Medicare Billing Reassignment

Medicare enrollment records show Gayle Logan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Counseling LLC
276 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 225 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gayle Logan's NPI number?

The NPI number for Gayle Logan is 1821377854. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is Gayle Logan located?

Gayle Logan practices at 2449 Golf Rd Ste 14, Philadelphia, PA 19131. The listed phone number is (215) 477-3103.

What is Gayle Logan's specialty?

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

Is Gayle Logan enrolled in Medicare?

Yes. Gayle Logan 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.

Which organization bills Medicare for Gayle Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gayle Logan reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gayle Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gayle Logan was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.