Mrs. Jennifer D Logan, PHD, LCPC

Individual provider Professional Counselor · NPI 1124370226

Mrs. Jennifer D Logan, PHD, LCPC is a Mental Health Counselor in Goodfield, Illinois. Qualified in 2014, 12 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying: 12
Licensed in: IL
In the registry since: 2012
Specialties on file: 2

What do these letters mean?

PHD — Doctor of Philosophy: A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCPC — Licensed Clinical Professional Counselor: A licensed clinical counsellor.

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Practice location Address checks out

103 Appaloosa Cir
Goodfield, IL 61742-9300
Phone: (309) 360-2268

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

Additional practice locations (1)

229 Martin Ave, Canton, IL 61520-2520 — (309) 647-1881

Specialties & licences

Professional Counselor (primary)	Taxonomy 101YP2500X · Licence 180012370 (IL)
Professional Counselor	Taxonomy 101YP2500X · Licence 178006924 (IL)

Record details

NPI number	1124370226
Entity type	Individual (Type 1)
Gender	Female
Credentials	PHD , LCPC
Sole proprietor	No
NPI enumerated	October 12, 2012
Last updated in NPPES	September 10, 2020
Certification date	September 10, 2020

Medicare enrollment

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

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	OTHER
Graduated	2014 (12 years in practice)
Group practice	Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount