Active NPI 1558859918 Individual Practitioner Male Practitioner

Logan Johnson , LPCC-S

Counselor - Professional • Medina, OH

Professional Overview & Biography Verified Profile Summary

Logan Johnson, LPCC-S is a registered healthcare professional specializing in Counselor - Professional in Medina, OH. Practice services are available at 885 LAUREL GLENS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

885 Laurel Glens Dr

Medina, OH 442562743

Telephone 2165366924

Associated Practice Facility / Clinic

🏢 Halden Psychotherapy And Consultation Facility NPI 1497617252

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Medina, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.7 Yrs

State Avg: 15.9 Yrs

Regional Practice Density

45 Specialists

Practicing in Medina, OH (6923 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: 2025-12-01

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.2202809-SUPV

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners

John Pallas

Counselor - Mental Health

NPI 1063229136

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 01, 2025

Registered at 885 LAUREL GLENS DR, MEDINA, OH 442562743 (Tel: 2165366924)

👤

Provider Name / Credentials Updated December 01, 2025

Recorded as LOGAN JOHNSON, LPCC-S

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2025

Counselor (License #E.2202809-SUPV in OH)

✅

NPI Profile Active May 01, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location May 01, 2018

Registered at 20525 DETROIT RD STE 8, ROCKY RIVER, OH 441162444 (Tel: 2167778834)

📍

Updated Business Mailing Address May 01, 2018

Registered at 885 LAUREL GLENS DR, MEDINA, OH 442562743 (Tel: 2165366924)

👤

Provider Name / Credentials Updated May 01, 2018

Recorded as LOGAN JOHNSON, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2018

Counselor (License #C.1800970 in OH)

🟢

Initial NPI Registration & Enumeration May 01, 2018

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: 1558859918

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 01, 2018

Last Update: December 01, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

885 Laurel Glens Dr

Medina, OH 442562743

Phone: 2165366924

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.