Individual provider Active NPI

Latrice Lashae Love, LPC

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1346648193
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6051 Issued in SC
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

Updated by the provider on May 3, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PC1506MedicaidSC

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

LicenseStateTypeSpecialty
0015984COMDProfessional Counselor
009331GAMDProfessional Counselor
6051SCMDProfessional Counselor
0701010289VAMDProfessional Counselor
5754SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Love Matters, LLC Mental Health CurrentSince Nov 1, 2020 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.

Verify at the official NPI Registry.