Individual provider Active NPI

Jennifer Love

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1174994693
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.18153 Issued in OH
Practice address
1001 Lakeside Ave E
Cleveland, OH 44114-1158
Phone
(330) 610-3486
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Brighter Day Oh LLC 13 clinicians
Comprehensive Rehab Consultants PLLC 251 clinicians

Practice addresses (Care Compare)

21 E State St
Suite 200
Columbus, OH 43215-0109
Phone (203) 568-6065

8151 Norton Pkwy
Mentor, OH 44060-6055
Phone (440) 299-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20171003007163 OH Practitioner - Nurse Practitioner 2860702735 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.18153-NPOHMDFamily Nurse Practitioner
APRN.CNP.18153OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Recovery Services Single Specialty CurrentSince May 1, 2021 Accepting new patients
Miller Psychiatric Services Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Miller Psychiatric Services Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Nagy Healthcare LLC Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
Serenity Center of Youngstown, LLC Single Specialty CurrentSince Nov 7, 2022 Accepting new patients
Comprehensive Rehab Consultants PLLC Single Specialty CurrentSince Nov 1, 2023 Accepting new patients
Brighter Day Oh LLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
New Vision Behavioral Health Services, LLC Single Specialty CurrentSince Apr 15, 2021 Accepting new patients
New Vision Behavioral Health Services, LLC Single Specialty Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1041 Broadway
Woodmere, NY 11598
Phone (203) 568-6065

21 E State St
Ste 200
Columbus, OH 43215
Phone (203) 568-6065

8151 Norton Pkwy
Mentor, OH 44060
Phone (440) 299-5500

11369 Market St
North Lima, OH 44452
Phone (330) 965-9999

1947 E Market St
Warren, OH 44483
Phone (330) 965-9999

8440 Market St
Youngstown, OH 44512
Phone (330) 533-8888

2958 Canfield Rd
Youngstown, OH 44511
Phone (330) 792-5511

196 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7500

80 E Midlothian Blvd
Youngstown, OH 44507
Phone (330) 234-5251

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.18153-NP OH
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APRN.CNP.18153 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

1001 Lakeside Ave E
Cleveland, OH 44114-1158

Mailing address

1001 Lakeside Ave E
Cleveland, OH 44114-1158
Phone (330) 610-3486

Other practice location 1

11369 Market St
North Lima, OH 44452-9782
Phone (330) 965-9999

Other practice location 2

1947 E Market St
Warren, OH 44483-6644
Phone (330) 965-9999

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0147784MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2023.

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1174994693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAKESIDE AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141158",
            "telephone_number": "330-610-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAKESIDE AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141158",
            "telephone_number": "330-610-3486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11369 Market St",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444529782",
            "country_code": "US",
            "telephone_number": "330-965-9999",
            "fax_number": "234-759-3971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1947 E Market St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444836644",
            "country_code": "US",
            "telephone_number": "330-965-9999",
            "fax_number": "234-759-3971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18153-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.18153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147784",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.