Logan Olivia Wilder-Ingram
Counselor - Professional • Hamilton, OH
Professional Overview & Biography Verified Profile Summary
Logan Wilder-Ingram is a certified Counselor - Professional practicing in Hamilton, OH. With approximately 4 years of clinical experience since completing medical education in 2022, Logan Wilder-Ingram delivers high-quality medical care to the local community at 1910 FAIRGROVE AVE.
Logan Wilder-Ingram is affiliated with Modern Psychiatry And Wellness Llc and accepts Medicare assignment.
Practice Location & Contact Primary Location
1910 Fairgrove Ave
Hamilton, OH 450111930
Medicare Profile & Education
Other
2022
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Hamilton, OH
Practicing in Hamilton, OH (6923 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
CMS Verified: 2025-10-20NUCC Taxonomy Code: 101YP2500X
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NUCC Taxonomy Code: 101YA0400X
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NUCC Taxonomy Code: 101YM0800X
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NUCC Taxonomy Code: 101YM0800X
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NUCC Taxonomy Code: 101YA0400X
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NUCC Taxonomy Code: 101YA0400X
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NUCC Taxonomy Code: 101YA0400X
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Additional State Medicaid & Healthcare Payer Identifiers
Hospital & Practice Group Affiliations
Modern Psychiatry And Wellness Llc
1910 Fairgrove Ave, Hamilton, OH 450111930
Phone: 5137957557
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Addiction (Substance Use Disorder)
Counselor - Professional
LPCCS
Counselor - Addiction (Substance Use Disorder)
Counselor
Social Worker - Clinical
Licensed Independent Social Worker
Counselor - Addiction (Substance Use Disorder)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1910 FAIRGROVE AVE, HAMILTON, OH 450111930 (Tel: 5134944679)
Registered at 1910 FAIRGROVE AVE, HAMILTON, OH 450111930 (Tel: 5134944679)
Counselor (License #E.2505581 in OH)
Registered at 1 ELIZABETH PL, DAYTON, OH 454173445 (Tel: 9378131737)
Counselor (License #LCDCIII.161933 in OH)
Counselor (License #CDCA.164220 in OH)
Registered at 160 N BREIEL BLVD, MIDDLETOWN, OH 450423806 (Tel: 5139414999)
Registered at 6460 HARRISON AVE STE 200, CINCINNATI, OH 452477958 (Tel: 5139414999)
Recorded as LOGAN WILDER-INGRAM
Counselor (License #LICDC.162260 in OH)
Registered at 6460 HARRISON AVE, CINCINNATI, OH 452477957 (Tel: 5139414999)
Registered at 3605 FIESTA WAY, MIDDLETOWN, OH 450446109 (Tel: 5135027014)
Recorded as LOGAN WILDER-INGRAM, LCDC III, CT, QMHS
Counselor (License #C.2103188-TRNE in OH)
Registered at 820 S MARTIN LUTHER KING JR BLVD, HAMILTON, OH 450113216 (Tel: 5138878500)
Recorded as LOGAN WILDER-INGRAM, CT, LCDCIII, QMHS
NPI status registered as active in NPPES database
Registered at 442 S 2ND ST, HAMILTON, OH 450112936 (Tel: 5138684980)
Registered at 820 S MARTIN LUTHER KING JR BLVD, HAMILTON, OH 450113216
Recorded as LOGAN WILDER, CDCA
Counselor (License #CDCA.164220 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1910 Fairgrove Ave
Hamilton, OH 450111930
Phone: 5134944679
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