Active NPI
Gloria A. Love
- Professional Counselor
- Southfield, MI
National Provider Identifier
1063865830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401005233
- Practice address
- 25619 Southwood Dr
Southfield, MI 48075 - Phone
- (248) 739-1521
- NPI assigned
- Jul 18, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 6401005233 | MI | Primary |
Addresses
Primary practice location
25619 Southwood Dr
Southfield, MI 48075
Mailing address
PO Box 251112
West Bloomfield, MI 48325-1112
Phone (313) 378-0322
Other names 1
- Gloria A. Love
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240822003337 | MI | Practitioner - Mental Health Counselor | 8123261146 |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Wayne State University School of Medicine, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
25619 Southwood Dr
Southfield, MI 48075-2063
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401005233 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1063865830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251112",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483251112",
"telephone_number": "313-378-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25619 SOUTHWOOD DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "248-739-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "GLORIA",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2023-08-14",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401005233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "LOVE",
"middle_name": "A.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.