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

MS. Gayle Vence Logan, MA, LMSW, LPC

Individual provider Professional Counselor · NPI 1821377854

MS. Gayle Vence Logan, MA, LMSW, LPC is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Thrive Counseling LLC, a 1,188-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2011
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2449 Golf Rd Ste 14
Philadelphia, PA 19131-1475
Phone: (215) 477-3103
Fax: (215) 477-3104
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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 PC005429 (PA)

Record details

NPI number1821377854
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LMSW , LPC
Sole proprietorYes
NPI enumeratedAugust 9, 2011
Last updated in NPPESAugust 9, 2011

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Thrive Counseling Llc — 1188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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