Active NPI
Michele Jack-Love, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1649938960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2946
- Practice address
- 10050 Regency Cir Ste 509
Omaha, NE 68114-3783 - Phone
- (402) 906-2611
- NPI assigned
- Dec 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2946 | NE | Primary |
Addresses
Primary practice location
10050 Regency Cir Ste 509
Omaha, NE 68114-3783
Mailing address
18644 Weir Cir
Omaha, NE 68135-3510
Phone (402) 509-3126
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 |
|---|---|---|---|
| 2946 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1649938960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18644 WEIR CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681353510",
"telephone_number": "402-509-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 REGENCY CIR STE 509",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143783",
"telephone_number": "402-906-2611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACK-LOVE",
"first_name": "MICHELE",
"credential": "LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-03",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.