LOGAN ALEXANDER SHAFFER LPC-MHSP
NPI 1881550796
Counselor - Professional in Kingsport, TN

Active since January 05, 2026PECOS Enrolled
1570 WAVERLY RD, KINGSPORT, TN 37664(423) 224-1353 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Logan Alexander Shaffer Lpc-mhsp NPPES

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

LOGAN ALEXANDER SHAFFER LPC-MHSP (NPI 1881550796) is an individual professional provider in Kingsport, Tennessee, licensed in Tennessee (8472) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881550796
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameLOGAN ALEXANDER SHAFFERCredential: LPC-MHSP
Location Address1570 WAVERLY RDKingsport, TN 37664-2523
Mailing Address1445 Bridwell StKingsport, TN 37664-3307 · (423) 579-8047
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 5, 2026
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1881550796 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 TN · 8472
1570 WAVERLY RD, Kingsport, TN 37664

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 Alexander Shaffer Lpc-mhsp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517448863
PECOS Enrollment IDI20260225000109
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.

Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Counselor (Professional)
1570 WAVERLY RD
KINGSPORT, TN 37664
Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Social Worker (Clinical)
1570 WAVERLY RD
KINGSPORT, TN 37664
Case Manager/Care Coordinator
1570 WAVERLY RD, HOLSTON COUNSELING CENTER
KINGSPORT, TN 37664
Registered Nurse
1570 WAVERLY RD, HOLSTON COUNSELING
KINGSPORT, TN 37664
Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Psychiatry & Neurology (Psychiatry)
1570 WAVERLY RD
KINGSPORT, TN 37664

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 Shaffer's NPI number?

The NPI number for Logan Shaffer is 1881550796. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Where is Logan Shaffer located?

Logan Shaffer practices at 1570 Waverly Rd, Kingsport, TN 37664. The listed phone number is (423) 224-1353.

What is Logan Shaffer's specialty?

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

Is Logan Shaffer enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Logan Shaffer was last updated on February 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.