Active NPI
Love & Healing Counseling Center PLLC
- Mental Health Counselor
- Homewood, IL
National Provider Identifier
1407734619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LOVE & HEALING COUNSELING CENTER PLLC
- Practice address
- 18161 Morris Ave Ste 201
Homewood, IL 60430-2141 - Phone
- (773) 934-0342
- NPI assigned
- Aug 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marcie Jo Mangun-Clarke
- Title
- Billing Specialist
- Phone
- (815) 474-3471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
18161 Morris Ave Ste 201
Homewood, IL 60430-2141
Mailing address
18161 Morris Ave Ste 201
Homewood, IL 60430-2141
Phone (773) 934-0342
National Provider Directory
National Provider DirectoryLocations
18161 Morris Ave
Ste 201
Homewood, IL 60430
Phone (773) 934-0342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756080000000",
"number": "1407734619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18161 MORRIS AVE STE 201",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302141",
"telephone_number": "773-934-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18161 MORRIS AVE STE 201",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302141",
"telephone_number": "773-934-0342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVE & HEALING COUNSELING CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A",
"authorized_official_last_name": "MANGUN-CLARKE",
"authorized_official_first_name": "MARCIE",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "815-474-3471",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.