Active NPI
Jay Eli Love
- Counselor
- Hemet, CA
National Provider Identifier
1477033033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 11072
- Practice address
- 1105 E Florida Ave
Hemet, CA 92543-4512 - Phone
- (951) 439-2939
- NPI assigned
- Aug 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11072 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Counselor | 101Y00000X | 11072 | CA | Primary |
Addresses
Primary practice location
1105 E Florida Ave
Hemet, CA 92543-4512
Mailing address
1105 E Florida Ave
Hemet, CA 92543-4512
Phone (951) 439-2939
Other practice location 1
3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone (323) 751-3026
Other practice location 2
2101 Magnolia Ave
Long Beach, CA 90806-4521
Phone (562) 218-1868
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11072 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Health & Rehabilitation Program | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Lynwood, CA
- NPI 1467775221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1477033033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925434512",
"telephone_number": "951-439-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925434512",
"telephone_number": "951-439-2939"
}
],
"practiceLocations": [
{
"address_1": "3850 Crenshaw Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900081821",
"country_code": "US",
"telephone_number": "323-751-3026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 Magnolia Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908064521",
"country_code": "US",
"telephone_number": "562-218-1868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVE",
"first_name": "JAY",
"middle_name": "ELI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-14",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "11072",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "11072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.