Mount Logan Clinic LLC
NPI 1275152910ActiveOrganization· Counselor, Mental Health· Logan, UT
Counselor, Mental Health in Logan, Utah, registered in NPPES in April 2020. The authorized official on file is Kyle Hancock, PHD, Owner/Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275152910 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2020 |
| Last updated in NPPES | Jul 29, 2021 |
| Certified by provider | Jul 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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