Organization Active NPI

Love & Healing Counseling Center PLLC

  • Mental Health Counselor
  • Homewood, IL
National Provider Identifier
1407734619
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Aug 25, 2025

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.