Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan Alexander Shaffer, LPC-MHSP

Individual provider Professional Counselor · NPI 1881550796

Logan Alexander Shaffer, LPC-MHSP is a Mental Health Counselor in Kingsport, Tennessee. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2026

Practice location Address checks out

1570 Waverly Rd
Kingsport, TN 37664-2523
Phone: (423) 224-1353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8472 (TN)

Record details

NPI number1881550796
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-MHSP
Sole proprietorYes
NPI enumeratedJanuary 5, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Kingsport