Jessie Dolores Love-Belle, MASTERS LEVEL CAP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0718AD141801 Issued in FL

Practice address

4750 E Moody Blvd
Bunnell, FL 32110-7709

Phone

(386) 569-4748

Fax

(386) 313-1955

NPI assigned

Jan 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1134518871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WHEATFIELD DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321643927",
            "telephone_number": "386-569-4748",
            "fax_number": "386-313-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 E MOODY BLVD",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321107709",
            "telephone_number": "386-569-4748",
            "fax_number": "386-313-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE-BELLE",
        "first_name": "JESSIE",
        "middle_name": "DOLORES",
        "name_prefix": "Mrs.",
        "credential": "MASTERS LEVEL CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "0718AD141801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Bunnell, FL
• Providers in Bunnell, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.