Active NPI
Latrice Lashae Love, LPC
- Professional Counselor
- Columbia, SC
National Provider Identifier
1346648193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6051
- Practice address
- 136 Forum Dr # 108
Columbia, SC 29229-7942 - Phone
- (803) 251-9465
- Fax
- (866) 736-0574
- NPI assigned
- Dec 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11317 | NC | |
| Mental Health Counselor | 101YM0800X | 6051 | SC | |
| Mental Health Counselor | 101YM0800X | 5754 | SC | |
| Professional Counselor | 101YP2500X | 0015984 | CO | |
| Professional Counselor | 101YP2500X | 0701010289 | VA | |
| Professional Counselor | 101YP2500X | 009331 | GA | |
| Professional Counselor | 101YP2500X | 6051 | SC | Primary |
Addresses
Primary practice location
136 Forum Dr # 108
Columbia, SC 29229-7942
Mailing address
732 Dial Creek Rd
Elgin, SC 29045-2003
Phone (803) 331-7767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC1506 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015984 | CO | MD | Professional Counselor |
| 009331 | GA | MD | Professional Counselor |
| 6051 | SC | MD | Professional Counselor |
| 0701010289 | VA | MD | Professional Counselor |
| 5754 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Love Matters, LLC | Mental Health | Current | Accepting new patients |
Locations
4030 Wake Forest Rd
Ste 349
Raleigh, NC 27609
Phone (336) 280-8301
136 Forum Dr
Ste 108
Columbia, SC 29229
136 Forum Dr
#108
Columbia, SC 29229
Phone (803) 251-9465
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1346648193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 DIAL CREEK RD",
"city": "ELGIN",
"state": "SC",
"postal_code": "290452003",
"telephone_number": "803-331-7767",
"fax_number": "866-736-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 FORUM DR # 108",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297942",
"telephone_number": "803-251-9465",
"fax_number": "866-736-0574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "LATRICE",
"middle_name": "LASHAE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "11317",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "6051",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "5754",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0015984",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701010289",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "009331",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC1506",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.