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Deactivated NPI 1760110647 Deactivated / Inactive NPI Male Practitioner

Robert Logan , LPC

Counselor - Professional • Cullman, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Logan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2022
NPI Deactivation Date December 19, 2024
Total Practice Duration ~2 Years of Practice (2022 – 2024)

Professional Overview & Biography Verified Profile Summary

Robert Logan, LPC was a registered Counselor - Professional practicing in Cullman, AL. Throughout an active medical career spanning 2 years, Robert Logan provided care at the practice location at 427 2ND AVE SW until profile deactivation on 2024-12-19.

Practice Location & Contact Primary Location

Practice Address

427 2nd Ave Sw

Cullman, AL 350554106

Telephone 2566152324
Associated Practice Facility / Clinic
🏢 Genetassistant Facility NPI 1518500040

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Cullman, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
24 Specialists

Practicing in Cullman, AL (1850 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Frederick Miller

Social Worker - Clinical

NPI 1518747278
Josie Vines

Counselor - Professional

NPI 1891508321

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 19, 2024

Record deactivated on December 19, 2024

NPI Profile Active August 09, 2022

NPI status registered as active in NPPES database

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Updated Practice Location August 09, 2022

Registered at 427 2ND AVE SW, CULLMAN, AL 350554106 (Tel: 2566152324)

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Updated Business Mailing Address August 09, 2022

Registered at 686 COUNTY ROAD 3053, DOUBLE SPRINGS, AL 355535830

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Provider Name / Credentials Updated August 09, 2022

Recorded as ROBERT LOGAN, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2022

Counselor

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Initial NPI Registration & Enumeration August 09, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760110647
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2022
Last Update: August 09, 2022
Deactivation Date: December 19, 2024

Mailing Address

686 County Road 3053

Double Springs, AL 355535830

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.