Active NPI
Love Behavioral Health Consulting, LLC
- Professional Counselor
- Matteson, IL
National Provider Identifier
1114713682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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, CADC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Matteson, IL
- NPI 1518493139
Mental Health
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.