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

Logan Spicer

Individual provider Mental Health Counselor · NPI 1770140949

Logan Spicer is a Mental Health Counselor in Westchester, Illinois. Qualified in 2020, 6 years ago. Practices with Thriveworks Clinical - Illinois, a 45-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

9855 W Roosevelt Rd
Westchester, IL 60154-2758
Phone: (708) 681-2325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180015338 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence NONE

Record details

NPI number1770140949
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 23, 2019
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address3123 S Shields Ave Apt Bsmt, Chicago, IL 60616-4967

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Thriveworks Clinical - Illinois — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Westchester