Active NPI
Carmen G Love, LADC
- Professional Counselor
- Burnsville, MN
National Provider Identifier
1033724356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 302035
- Practice address
- 3000 County Road 42 W
Burnsville, MN 55337-4824 - Phone
- (612) 701-5562
- NPI assigned
- Sep 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 302035 | MN | Primary |
Addresses
Primary practice location
3000 County Road 42 W
Burnsville, MN 55337-4824
Mailing address
PO Box 17370
#2760
St. Paul, MN 55117
Phone (612) 701-5562
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302035 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1033724356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17370",
"address_2": "#2760",
"city": "ST. PAUL",
"state": "MN",
"postal_code": "55117",
"telephone_number": "612-701-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 COUNTY ROAD 42 W",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374824",
"telephone_number": "612-701-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "CARMEN",
"middle_name": "G",
"credential": "LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MN",
"license": "302035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.