IndividualActive
Shannon Logan, LAC
NPI 1508424060 · Mental Health Counselor · Lyndhurst, NJ
Shannon Logan, LAC is a Mental Health Counselor provider in Lyndhurst, NJ (NPI 1508424060).
Provider details
- NPI number
- 1508424060
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- License
- 37AC00293400 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1050 Wall St W Ste 310
Lyndhurst, NJ 07071-3615
Phone: (732) 982-2888
Fax: (847) 859-5885
Street-level locationGet directions
Mailing address
175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Registry dates
- Enumerated
- 2019-05-30
- Last updated
- 2019-05-30
Frequently asked questions
- What is Shannon Logan's NPI number?
- Shannon Logan's National Provider Identifier (NPI) is 1508424060, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Logan's specialty?
- Shannon Logan is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Shannon Logan located?
- Shannon Logan's practice location on file with NPPES is 1050 Wall St W Ste 310, Lyndhurst, NJ 07071-3615.
- What is Shannon Logan's phone number?
- The practice phone number listed in the NPPES registry for Shannon Logan is (732) 982-2888.
- Is Shannon Logan's NPI active?
- Yes — Shannon Logan's NPI (1508424060) is active in the NPPES registry as of the last update on 2019-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.