Active NPI
Zachary Kristopher Love, LMFT
- Marriage & Family Therapist
- Stillwater, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1369
- Practice address
- 1624 Cimarron PLZ
Stillwater, OK 74075-3467 - Phone
- (405) 372-2202
- Fax
- (405) 445-3780
- NPI assigned
- Nov 1, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 114818 | CA | |
| Marriage & Family Therapist | 106H00000X | IMF69202 | CA | |
| Marriage & Family Therapist | 106H00000X | 1369 | OK | Primary |
Addresses
Primary practice location
1624 Cimarron PLZ
Stillwater, OK 74075-3467
Mailing address
604 S Walnut St
Stillwater, OK 74074-4222
Phone (405) 372-2202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114818 | CA | MD | Marriage & Family Therapist |
| IMF69202 | CA | MD | Marriage & Family Therapist |
| 1369 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Mental Health Center, Inc. | Current | Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current | Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current | Accepting new patients | |
| Homes for Life Foundation | Past | Accepting new patients |
Locations
111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511
114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207
998 E Knotts Ave
Stillwater, OK 74075
Phone (539) 593-4285
1624 Cimarron Plz
Stillwater, OK 74075
Phone (800) 722-3611
604 S Walnut St
Stillwater, OK 74074
Phone (405) 338-7072
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, OK
- NPI 1497762520
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1356048656
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nowata, OK
- NPI 1467460931
-
- Case Management Agency
- Norwalk, CA
- NPI 1508994310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1770837478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 S WALNUT ST",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744222",
"telephone_number": "405-372-2202",
"fax_number": "405-445-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 CIMARRON PLZ",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740753467",
"telephone_number": "405-372-2202",
"fax_number": "405-445-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "ZACHARY",
"middle_name": "KRISTOPHER",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-01",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "114818",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF69202",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "1369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.