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Active NPI 1518393693 Individual Practitioner Female Practitioner

Leah Marie Logan , MS, LPC

Counselor - Professional • Moore, OK

Professional Overview & Biography Verified Profile Summary

Leah Logan, MS, LPC is a certified Counselor - Professional practicing in Moore, OK. With approximately 17 years of clinical experience since completing medical education in 2009, Leah Logan delivers high-quality medical care to the local community at 1105 SW 30TH CT.

Leah Logan does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1105 Sw 30th Ct

Moore, OK 731602887

Telephone 4056765114
Associated Practice Facility / Clinic
🏢 Balance Women's Health, Llc Facility NPI 1790186385

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Moore, OK

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -0.3 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
38 Specialists

Practicing in Moore, OK (2681 Statewide)

Telehealth Adoption Rate
7.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Logan (17 Years) 17 Yrs
Moore Specialty Average (17.3 Years) 17.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OK 06633

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OK 06633

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Hpso
0421590335 (OK)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Katharine Raun , PA-C

Physician Assistant

NPI 1306497292

Physician Assistant (Certified)

Kelsey Ramey , MED, LPC

Counselor - Professional

NPI 1386353894

Master of Education, Licensed Professional Counselor

Dr. Bailey Vasquez , MD

Psychiatry & Neurology - Psychiatry

NPI 1417526815

Doctor of Medicine (M.D.)

Jorja Stevenson , APRN-BC, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1740048875

APRNBC, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Evaristus Penda

Counselor - Professional

NPI 1831575315
Dr. Patrick Horn , MD

Psychiatry & Neurology - Psychiatry

NPI 1841450855

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
👤
Provider Name / Credentials Updated April 09, 2025

Recorded as LEAH LOGAN, MS, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2025

Counselor (License #06633 in OK)

📍
Updated Practice Location March 04, 2025

Registered at 1105 SW 30TH CT, MOORE, OK 731602887 (Tel: 4056765114)

📍
Updated Business Mailing Address March 04, 2025

Registered at 1105 SW 30TH CT, MOORE, OK 731602887 (Tel: 4056765114)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2025

Counselor (License #06633 in OK)

NPI Profile Active September 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2013

Registered at 222 E SHERIDAN AVE, SUITE 2, OKLAHOMA CITY, OK 731044233 (Tel: 4052000124)

📍
Updated Business Mailing Address September 19, 2013

Registered at 101 E UNIVERSITY DR, APT# C-4, WEATHERFORD, OK 730962024 (Tel: 4052043461)

👤
Provider Name / Credentials Updated September 19, 2013

Recorded as LEAH LOGAN, M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2013

Counselor

🟢
Initial NPI Registration & Enumeration September 19, 2013

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: 1518393693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2013
Last Update: April 09, 2025
Sole Proprietor: Yes

Mailing Address

1105 Sw 30th Ct

Moore, OK 731602887

Phone: 4056765114

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.