Organization Active NPI

Love Community Behavioral Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Belleville, IL
National Provider Identifier
1457165136
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LOVE COMMUNITY BEHAVIORAL HEALTH SERVICES LLC
Practice address
112 Meadowcrest Dr
Belleville, IL 62221-6749
Phone
(618) 550-5028
NPI assigned
Feb 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Shirlisa LoveNPI 1104691815
Title
Pmhnp
Phone
(618) 550-5028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

112 Meadowcrest Dr
Belleville, IL 62221-6749

Mailing address

112 Meadowcrest Dr
Belleville, IL 62221-6749
Phone (618) 550-5028

Other names 1

  • Love Community Behavioral Health Services LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250826000524 IL Part B Supplier - Clinic/Group Practice 2365942125 Receives reassigned benefits from 1 practitioner
Practice locations: Belleville, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1457165136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MEADOWCREST DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622216749",
            "telephone_number": "618-550-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MEADOWCREST DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622216749",
            "telephone_number": "618-550-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE COMMUNITY BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "SHIRLISA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "618-550-5028"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love Community Behavioral Health Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.