Logan Olivia Wilder-Ingram
NPI 1760908263ActiveIndividual· Counselor, Professional· Hamilton, OH
Counselor, Professional with Modern Psychiatry and Wellness LLC, practicing in Hamilton, Ohio. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1760908263 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 16, 2017 |
| Last updated in NPPES | Oct 20, 2025 |
| Certified by provider | Oct 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | E.2505581 | OH |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LCDCIII.161933 | OH |
| Counselor, Mental Health | 101YM0800X | C.2204204 | OH |
| Counselor, Mental Health | 101YM0800X | C.2204204 | OH |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | CDCA.167891 | OH |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LICDC.162260 | OH |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | CDCA.164220 | OH |
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 Practitioner - Mental Health Counselor (OH) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Modern Psychiatry and Wellness LLCHamilton, OH · 21 clinicians
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