Fawn Marie Love

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

4502 Gallia St
New Boston, OH 45662-5541

Phone

(740) 529-7020

NPI assigned

Jul 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Scioto Family and Behavioral Medicine

  • Addiction (Substance Use Disorder) Counselor
  • Portsmouth, OH
  • NPI 1063074771
  NPD

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1235818493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 GALLIA ST",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625541",
            "telephone_number": "740-529-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 GALLIA ST",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625541",
            "telephone_number": "740-529-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "FAWN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Kindinger
• Daniel Wesley Kirkendall
• Kimberly Knore
• Royna Lattimore
• Carolyn Lemons
• Flora Madden, RN
• Melissa M Marcum
• Cassidy Elizabeth Martin
• Teresa L. Martin, D.M.D.
• Sara Marie McCullough, CNP

• Case Management Agency in New Boston, OH
• Providers in New Boston, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.