MRS. KIM JANISSE LOGAN PH.D.,LPC,BCPC
NPI 1841470556
Counselor - Professional in Detroit, MI

Q: What is Kim Logan's NPI number?

The NPI number for Kim Logan is 1841470556. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Q: What is Kim Logan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kim Logan was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 November 09, 2007

3011 W. GRAND BLVD., SUITE 423, DETROIT, MI 48202(313) 664-4900(313) 664-4901 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Kim Janisse Logan Ph.d.,lpc,bcpc NPPES

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

MRS. KIM JANISSE LOGAN PH.D.,LPC,BCPC (NPI 1841470556) is an individual professional provider in Detroit, Michigan, licensed in Michigan (L2437318) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1841470556

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. KIM JANISSE LOGANCredential: PH.D.,LPC,BCPC

Location Address3011 W. GRAND BLVD., SUITE 423Detroit, MI 48202-3011

Mailing Address3011 W. Grand Blvd., Suite 423Detroit, MI 48202-3011 · (313) 664-4900 · Fax (313) 664-4901

Phone(313) 664-4900

Fax(313) 664-4901

Sole ProprietorNo

Enumeration DateNovember 9, 2007

Last NPPES UpdateApril 14, 2015

✔ NPI 1841470556 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 MI · L2437318

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License L2437318 (MI)

3011 W. GRAND BLVD., Detroit, MI 48202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

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

DR. BRUCE DONIGAN D.D.S.

Dentist (General Practice)

3011 W. GRAND BLVD., SUITE 862
DETROIT, MI 48202

Wayne County (313) 871-1100

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 Kim Logan's NPI number?

The NPI number for Kim Logan is 1841470556. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Where is Kim Logan located?

Kim Logan practices at 3011 W. Grand Blvd. Suite 423, Detroit, MI 48202. The listed phone number is (313) 664-4900.

What is Kim Logan's specialty?

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

What insurance does Kim Logan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Providence Health Plan list Kim Logan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Logan was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.