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Logan Mowder Cook , LPC

Counselor - Professional β€’ Berea, OH

Active NPI 1982055182 Individual Practitioner Male Practitioner
Practice location in NPPES

202 E Bagley Rd
Berea, OH 440172058

Call 4402608300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

202 E Bagley Rd

Berea, OH 440172058

Telephone 4402608300
Organization at the Same NPPES Address or Phone
Ohioguidestone Facility NPI 1447524673

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Berea and Ohio

51 active clinicians are listed under Counselor - Professional with a practice address in Berea, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Berea

5.9% of these 51 clinicians have the CMS telehealth indicator.

13.7% of these 51 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-02-14
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH C.1600283
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES OH C. 1600283-TRNE
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Mary Canonico , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1811465594

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Kimberly Clark , CNP

Nurse Practitioner

NPI 1578752267

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location February 14, 2020

Registered at 202 E BAGLEY RD, BEREA, OH 440172058 (Tel: 4402608300)

πŸ“
Updated Business Mailing Address February 14, 2020

Registered at 434 EASTLAND RD, BEREA, OH 440171217 (Tel: 4402342006)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2020

Counselor (license number reported to NPPES: OH C.1600283)

βœ…
NPI Profile Active February 18, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 18, 2017

Registered at 347 MIDWAY BLVD, #306, ELYRIA, OH 440359006 (Tel: 4403241300)

πŸ“
Updated Business Mailing Address February 18, 2017

Registered at 23559 GRIST MILL CT, OLMSTED FALLS, OH 441383205 (Tel: 7403912532)

πŸ‘€
Provider Name / Credentials Updated February 18, 2017

Recorded as LOGAN COOK, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2017

Counselor (license number reported to NPPES: OH C. 1600283-TRNE)

βœ…
NPI Profile Active June 29, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 29, 2016

Registered at 18 N FORGE ST, AKRON, OH 443041317 (Tel: 3307620591)

πŸ“
Business Mailing Address (Initial Record) June 29, 2016

Registered at 87 N CANTON RD, AKRON, OH 443053838 (Tel: 3307944254)

πŸ‘€
Provider Name / Credentials (Initial Record) June 29, 2016

Recorded as LOGAN COOK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2016

Counselor (license number reported to NPPES: OH C. 1600283-TRNE)

🟒
Initial NPI Registration & Enumeration June 29, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982055182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2016
Last Update: February 14, 2020
Sole Proprietor: No

Mailing Address

434 Eastland Rd

Berea, OH 440171217

Phone: 4402342006

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.