Organization Active NPI

Love Behavioral Health Consulting, LLC

  • Professional Counselor
  • Matteson, IL
National Provider Identifier
1114713682
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LOVE BEHAVIORAL HEALTH CONSULTING, LLC
Practice address
4749 Lincoln Mall Dr
Ste 202H Pmb2010
Matteson, IL 60443
Phone
(312) 561-6215
NPI assigned
Apr 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Dr. Jessica Love Jordan, PHD, LCPC, CADCNPI 1518493139
Title
Owner/Operator
Phone
(312) 561-6215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

4749 Lincoln Mall Dr
Ste 202H Pmb2010
Matteson, IL 60443

Mailing address

PO Box 223
Park Forest, IL 60466-0223
Phone (312) 561-6215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250717003240 IL Part B Supplier - Clinic/Group Practice 7719493725 Receives reassigned benefits from 1 practitioner
Practice locations: Park Forest, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1114713682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604660223",
            "telephone_number": "312-561-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 LINCOLN MALL DR",
            "address_2": "STE 202H PMB2010",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "60443",
            "telephone_number": "312-561-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE BEHAVIORAL HEALTH CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "LOVE JORDAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "312-561-6215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.