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Thomas Mack Logan , MS, LPC

Counselor - Professional β€’ Longview, TX

Active NPI 1184907024 Individual Practitioner Male Practitioner
Practice location in NPPES

404 Deerwood Dr
Longview, TX 756044415

Call 9562031131 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

404 Deerwood Dr

Longview, TX 756044415

Telephone 9562031131

NPI first issued

2011

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 Longview and Texas

140 active clinicians are listed under Counselor - Professional with a practice address in Longview, TX (20,742 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

1.4% of these 140 clinicians have the CMS telehealth indicator.

10% of these 140 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: 2023-01-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 67844
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: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location January 19, 2023

Registered at 404 DEERWOOD DR, LONGVIEW, TX 756044415 (Tel: 9562031131)

πŸ“
Updated Business Mailing Address January 19, 2023

Registered at 404 DEERWOOD DR, LONGVIEW, TX 756044415 (Tel: 9562031131)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2023

Counselor (license number reported to NPPES: TX 67844)

βœ…
NPI Profile Active September 27, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 27, 2011

Registered at 1305 S COUNTRY CLUB RD, MUSKOGEE, OK 744037802 (Tel: 9186865588)

πŸ“
Business Mailing Address (Initial Record) September 27, 2011

Registered at 511 STONEHAVEN DR, CLAREMORE, OK 740174829 (Tel: 9188106801)

πŸ‘€
Provider Name / Credentials (Initial Record) September 27, 2011

Recorded as THOMAS LOGAN, MS, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2011

Counselor (license number reported to NPPES: OK 4450)

🟒
Initial NPI Registration & Enumeration September 27, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184907024
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2011
Last Update: January 19, 2023
Sole Proprietor: Yes

Mailing Address

404 Deerwood Dr

Longview, TX 756044415

Phone: 9562031131

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.