Active NPI
Nash W Love III, LPA
- Counseling Psychologist
- Jefferson, NC
National Provider Identifier
1679540223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 1354
- Practice address
- 221 W Main St
Jefferson, NC 28640-9723 - Phone
- (336) 246-4542
- Fax
- (828) 262-5687
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1354 | NC | Primary |
Addresses
Primary practice location
221 W Main St
Jefferson, NC 28640-9723
Mailing address
221 W Main St
Jefferson, NC 28640-9723
Phone (336) 246-4542
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Other | NC | CBHA |
| 6107298 | Medicaid | NC | |
| 135VR | Other | NC | BCBS OF NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1679540223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W MAIN ST",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409723",
"telephone_number": "336-246-4542",
"fax_number": "828-262-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W MAIN ST",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409723",
"telephone_number": "336-246-4542",
"fax_number": "828-262-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "NASH",
"middle_name": "W",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "1354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBHA",
"identifier": "N/A",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107298",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "135VR",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.