Individual provider Active NPI

Jack D Love, M.A., M.F.T.

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1023049327
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 7778 Issued in CA
Practice address
1828 Tribute Rd
Suite L
Sacramento, CA 95815-4310
Phone
(916) 929-5765
Fax
(916) 925-2606
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 7778 CA Primary

Addresses

Primary practice location

1828 Tribute Rd
Suite L
Sacramento, CA 95815-4310

Mailing address

1828 Tribute Rd
Suite L
Sacramento, CA 95815-4310
Phone (916) 929-5765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 7778CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023049327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 TRIBUTE RD",
            "address_2": "SUITE L",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154310",
            "telephone_number": "916-929-5765",
            "fax_number": "916-925-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 TRIBUTE RD",
            "address_2": "SUITE L",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154310",
            "telephone_number": "916-929-5765",
            "fax_number": "916-925-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "JACK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.A., M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 7778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.