RICKY JERMAINE LOGAN (NPI# 1013437508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013437508 |
| Entity Type | Individual |
| Full Name | RICKY JERMAINE LOGAN |
| Practice Address |
129 North King Street Northampton MA 01060 |
| Practice Telephone | 4135851300 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629242441 | Ricky Warner Logan | Dentist | 4711 Atlanta Hwy, Montgomery, AL 36109-3240 | 2008-04-14 |
| Street Address |
129 NORTH KING STREET |
| City | NORTHAMPTON |
| State | MA |
| Zip Code | 01060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942869318 | Stephanie Jordan | Counselor | 16 Center St Ste 517, Northampton, MA 01060 | 2019-06-10 |
| 1659853828 | James Drisko | Social Worker | 159 Crescent St, Northampton, MA 01060 | 2018-09-04 |
| 1063994416 | Nancy P Doby | Social Worker | 84 Conz Street, Northampton, MA 01060 | 2018-09-02 |
| 1356821144 | Kathleen Ann Goodwin-boyd | Social Worker | Northampton High School, 380 Elm Street, Northampton, MA 01060 | 2018-08-21 |
| 1457847048 | Kathryn Karusaitis Basham | Social Worker | 155 Main Street C/o Dr. Herzog Phd, Northampton, MA 01060 | 2018-07-06 |
| 1700392289 | Angel Marie Kennedy | Behavioral Analyst | 351 Pleasant St Ste B126, Northampton, MA 01060 | 2017-12-20 |
| 1962858886 | Alicia Simoni | Social Worker | 25 Main St Ste 445, Northampton, MA 01060 | 2016-05-10 |
| 1134589708 | James Edmonstone | Clinic/Center | 78 Mainst., Suite 404, Northampton, MA 01060 | 2016-02-25 |
| 1114395639 | Danielle Baker | Speech-Language Pathologist | 228 King St Ste 2, Northampton, MA 01060 | 2015-09-15 |
| 1023497971 | Northampton Heights Alf Lp | Assisted Living Facility | 50 Village Hill Road, Northampton, MA 01060 | 2015-05-26 |
| Find all providers in zip 01060 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831722693 | Sarah Kuhn | Counselor | 6906 Walnut St, Northampton, PA 18067-9051 | 2020-02-19 |
| 1427616705 | Lacey Lynn Binkley | Counselor | 401 Ross Ct Apt 205, Northampton, PA 18067-8228 | 2019-06-03 |
| 1710389556 | Ethan Keyes Vandermark | Counselor | 113 Market St, Apt. 2, Northampton, MA 01060-3211 | 2014-09-24 |
| 1104169614 | Daniel Ward Sullivan | Counselor | 216 North King Street, Northampton, MA 01060 | 2013-04-03 |
| 1225331713 | Roberto A. Irizarry | Counselor | 66 Pines Edge Dr, Northampton, MA 01060-1559 | 2010-12-06 |
| 1730499880 | Jenny Crabbe | Counselor | 9 Jackson St, Northampton, MA 01060-1605 | 2010-10-07 |
| 1396054318 | Leah Cantler | Counselor | 25 Main St Ste 201, Northampton, MA 01060-3130 | 2010-09-27 |
| 1801109574 | Lynda Champagne | Counselor | 8 Atwod Drive, Suite 201, Northampton, MA 01060 | 2010-07-22 |
| 1073742789 | Catherine E. Sargent | Counselor | 121 Island Rd, #2, Northampton, MA 01060-4234 | 2009-07-02 |
| 1740895051 | Christine Rouleau | Counselor | 8 Atwood Dr, Northampton, MA 01060-4266 | 2020-09-14 |
| Find all providers in NORTHAMPTON | ||||
| City | NORTHAMPTON |
| Zip Code | 01060 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.