Individual provider Active NPI

Shannon Corcoran Love, LCPC

  • Mental Health Counselor
  • Arnold, MD
National Provider Identifier
1407234115
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC8641 Issued in MD
Practice address
463 Shore Acres Rd Apt 2a
Arnold, MD 21012-1920
Phone
(443) 254-6501
NPI assigned
May 13, 2015
Last updated
Aug 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP6324 MD
Mental Health Counselor 101YM0800X LC8641 MD Primary

Addresses

Primary practice location

463 Shore Acres Rd Apt 2a
Arnold, MD 21012-1920

Mailing address

463 Shore Acres Rd Apt 2a
Arnold, MD 21012-1920
Phone (443) 254-6501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231124000403 PA Practitioner - Mental Health Counselor 7911355318 Reassigns benefits to 2 organizations
I20250507000771 DC Practitioner - Mental Health Counselor 7911355318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP6324MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 10, 2025 Accepting new patients
Union Community Care CurrentSince Jan 1, 2024 Accepting new patients
Union Community Care CurrentSince Jan 1, 2024 Accepting new patients
Union Community Care Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

920 Church St
Lebanon, PA 17046
Phone (717) 272-2700

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • Direct secure messaging: shannon.love.1@14261.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1407234115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 SHORE ACRES RD APT 2A",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121920",
            "telephone_number": "443-254-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 SHORE ACRES RD APT 2A",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121920",
            "telephone_number": "443-254-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "SHANNON",
        "middle_name": "CORCORAN",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP6324",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC8641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.