IndividualActive
Logan Nickerson
NPI 1427919869 · Mental Health Counselor · Peoria, IL
Logan Nickerson is a Mental Health Counselor provider in Peoria, IL (NPI 1427919869).
Provider details
- NPI number
- 1427919869
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7820 N University St
Peoria, IL 61614-1220
Phone: (309) 202-2208
Street-level locationGet directions
Mailing address
1717 W Bradley Ave
Peoria, IL 61606-1055
Registry dates
- Enumerated
- 2025-11-24
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Frequently asked questions
- What is Logan Nickerson's NPI number?
- Logan Nickerson's National Provider Identifier (NPI) is 1427919869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Logan Nickerson's specialty?
- Logan Nickerson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Logan Nickerson located?
- Logan Nickerson's practice location on file with NPPES is 7820 N University St, Peoria, IL 61614-1220.
- What is Logan Nickerson's phone number?
- The practice phone number listed in the NPPES registry for Logan Nickerson is (309) 202-2208.
- Is Logan Nickerson's NPI active?
- Yes — Logan Nickerson's NPI (1427919869) is active in the NPPES registry as of the last update on 2025-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.