Individual provider Active NPI

Jeremy Andrew Love, LCDC III

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1790286409
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
162428 Issued in OH
Practice address
547 E 11TH Ave
Columbus, OH 43211-2603
Phone
(614) 224-4506
NPI assigned
Feb 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Counselor 101YA0400X 162428 OH Primary

Addresses

Primary practice location

547 E 11TH Ave
Columbus, OH 43211-2603

Mailing address

547 E 11TH Ave
Columbus, OH 43211-2603
Phone (614) 224-4506

Other practice location 1

7895 Melody Ln
Dublin, OH 43016-8670
Phone (614) 625-1429

Other practice location 2

895 Parsons Ave Ste B
Columbus, OH 43206-2398
Phone (614) 705-1919

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

LicenseStateTypeSpecialty
162428OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compdrug Past Accepting new patients
Compdrug Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1790286409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E 11TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432112603",
            "telephone_number": "614-224-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E 11TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432112603",
            "telephone_number": "614-224-4506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7895 Melody Ln",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430168670",
            "country_code": "US",
            "telephone_number": "614-625-1429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 Parsons Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432062398",
            "country_code": "US",
            "telephone_number": "614-705-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "JEREMY",
        "middle_name": "ANDREW",
        "credential": "LCDC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "162428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.