Active NPI
Victor Wayne Love, LMFT, LCDC, LSOTP
- Marriage & Family Therapist
- Montgomery, TX
National Provider Identifier
1821143900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 004012
- Practice address
- 780 Clepper Ste 202
Montgomery, TX 77356-3130 - Phone
- (936) 520-1938
- NPI assigned
- Jan 25, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 004012 | TX | Primary |
Addresses
Primary practice location
780 Clepper Ste 202
Montgomery, TX 77356-3130
Mailing address
13647 Leafy Arbor Dr
Montgomery, TX 77356-8627
Phone (936) 520-1938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173496401 | Medicaid | TX |
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 |
|---|---|---|---|
| 004012 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1821143900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13647 LEAFY ARBOR DR",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773568627",
"telephone_number": "936-520-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 CLEPPER STE 202",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773563130",
"telephone_number": "936-520-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "VICTOR",
"middle_name": "WAYNE",
"credential": "LMFT, LCDC, LSOTP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "004012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173496401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.