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MRS. MACKENZIE ANNE LOGAN LPC
NPI 1982430286
Counselor - Professional in Rockford, IL

Active since September 12, 2024
695 N PERRYVILLE RD STE 4, ROCKFORD, IL 61107(779) 368-0060(833) 972-0690 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2024, Sep 12, 2024 (2 updates tracked since 2024).

About Mrs. Mackenzie Anne Logan Lpc NPPES

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

MRS. MACKENZIE ANNE LOGAN LPC (NPI 1982430286) is an individual professional provider in Rockford, Illinois, licensed in Illinois (178.020561) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1982430286
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MACKENZIE ANNE LOGANCredential: LPC
Location Address695 N PERRYVILLE RD STE 4Rockford, IL 61107-6225
Mailing Address5076 Hermitage TrlRockford, IL 61114-7088 · (815) 861-3147
Phone(779) 368-0060
Fax(833) 972-0690
Sole ProprietorNo
Enumeration DateSeptember 12, 2024
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1982430286 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 IL · 178.020561
695 N PERRYVILLE RD STE 4, Rockford, IL 61107
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Other Providers at the Same Location NPPES 10

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

EMMA SHACKLETON LCPC
Counselor (Professional)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
AMANDA REZIN LCPC
Counselor (Professional)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
ASHLEY PHILLIPS LCSW
Social Worker
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
SARAH BETH WOLF LSW
Social Worker
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
ANDREW BENJAMIN EYTALIS
Counselor (Professional)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
TIMOTHY NATHAN LEWIS
Counselor (Professional)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
MARY EARLE LCSW
Social Worker (Clinical)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
ARIANNA CALKINS LCSW
Social Worker (Clinical)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060

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 Mackenzie Logan's NPI number?

The NPI number for Mackenzie Logan is 1982430286. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Where is Mackenzie Logan located?

Mackenzie Logan practices at 695 N Perryville Rd Ste 4, Rockford, IL 61107. The listed phone number is (779) 368-0060.

What is Mackenzie Logan's specialty?

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

When was this NPI record last updated?

The NPPES record for Mackenzie Logan was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.