Individual provider Active NPI

Harold Jerome Love, LPC

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1821493404
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014178 Issued in MI
Practice address
16250 Northland Dr Ste 204
Southfield, MI 48075
Phone
(248) 730-2905
Fax
(248) 599-7522
NPI assigned
Oct 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401014178 MI Primary

Addresses

Primary practice location

16250 Northland Dr Ste 204
Southfield, MI 48075

Mailing address

8422 S Shore Dr
Clarkston, MI 48348-2674
Phone (248) 730-2905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501003484 MI Practitioner - Mental Health Counselor 0648529552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harold J Love PLLCGroup PAC ID 5193076511, 2 clinicians

Practice addresses (Care Compare)

16250 Northland Dr
Suite 105
Southfield, MI 48075-5226
Phone (248) 599-7522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401014178MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harold J Love, PLLC Professional CurrentSince Aug 16, 2018 Accepting new patients

Locations

16250 Northland Dr
Ste 204
Southfield, MI 48075
Phone (248) 730-2905

16250 Northland Dr
Ste 105
Southfield, MI 48075
Phone (248) 483-4500

Organizations & group practices 1

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": "1414195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1821493404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 S SHORE DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482674",
            "telephone_number": "248-730-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR STE 204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-730-2905",
            "fax_number": "248-599-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "HAROLD",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-25",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.