Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013652197 Individual Practitioner Female Practitioner

Latosia Rena-Denise Logan

Counselor • Macomb, MI

Professional Overview & Biography Verified Profile Summary

Latosia Logan is a registered healthcare professional specializing in Counselor in Macomb, MI. Practice services are available at 45964 BRENTWOOD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

45964 Brentwood St

Macomb, MI 480425410

Telephone 5869480665
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Macomb, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Macomb, MI (2610 Statewide)

Telehealth Adoption Rate
11.1% 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

CMS Verified: 2026-02-19
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MI 6451019460

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
38-3242727 (MI)

Practice Associates & Co-Workers

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

6 Associated Practitioners
John Frasson

Social Worker

NPI 1003430489
Richard Kropp , RN

Registered Nurse

NPI 1114341831

Registered Nurse

Jane Speer

Registered Nurse

NPI 1548686264
Antonio Broaden

Case Manager/Care Coordinator

NPI 1598600116
Lorri Barnes

Counselor - Mental Health

NPI 1649524869
Scott Fryling , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1811462401

Registered Nurse

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2026

Counselor (License #6451019460 in MI)

NPI Profile Active May 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2022

Registered at 45964 BRENTWOOD ST, MACOMB, MI 480425410 (Tel: 5869480665)

📍
Updated Business Mailing Address May 03, 2022

Registered at 45964 BRENTWOOD ST, MACOMB, MI 480425410 (Tel: 5869480665)

👤
Provider Name / Credentials Updated May 03, 2022

Recorded as LATOSIA LOGAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2022

Counselor (License #6451019460 in MI)

🟢
Initial NPI Registration & Enumeration May 03, 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: 1013652197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2022
Last Update: February 19, 2026
Sole Proprietor: Yes

Mailing Address

45964 Brentwood St

Macomb, MI 480425410

Phone: 5869480665

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.