Active NPI
Michael Doyle Love, LCSW
- Clinical Social Worker
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW18946
- Practice address
- Brooke Army Medical Center
3551 Roger Brooke Drive
Fort Sam Houston, TX 78234 - Phone
- (210) 557-6916
- NPI assigned
- Nov 9, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SW18946 | FL | |
| Mental Health Counselor | 101YM0800X | SW18946 | FL | |
| Clinical Social Worker | 1041C0700X | SW18946 | FL | Primary |
Addresses
Primary practice location
Brooke Army Medical Center
3551 Roger Brooke Drive
Fort Sam Houston, TX 78234
Mailing address
14325 Falconhead Dr
Jacksonville, FL 32224-2850
Phone (904) 533-5537
Other practice location 1
14325 Falconhead Dr
Jacksonville, FL 32224-2850
Phone (904) 562-0941
Other practice location 2
13245 Atlantic Blvd Ste 4-317
Jacksonville, FL 32225-7121
Phone (049) 533-5537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57-3209933 | Other | FL | MALCOLM RANDALL VAMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|
| SW18946 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Help Me to Help You Counseling LLC | Current | Accepting new patients | |
| Pine Castle Inc. | Current | Accepting new patients | |
| Clay Physical Therapy PA | Past | Accepting new patients | |
| Right Path Behavioral Health Services, LLC. | Past | Accepting new patients |
Locations
4911 Spring Park Rd
Jacksonville, FL 32207
Phone (904) 269-7751
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.
-
- Adult Mental Health Clinic/Center
- Jacksonville, FL
- NPI 1740932805
-
- Developmentally Disabled Services Day Training Agency
- Jacksonville, FL
- NPI 1952557365
-
- Physical Therapist
- Orange Park, FL
- NPI 1902075914
-
- Community/Behavioral Health Agency
- Ft Lauderdale, FL
- NPI 1255139838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1841663143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14325 FALCONHEAD DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242850",
"telephone_number": "904-533-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DRIVE",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-557-6916"
}
],
"practiceLocations": [
{
"address_1": "14325 Falconhead Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322242850",
"country_code": "US",
"telephone_number": "904-562-0941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13245 Atlantic Blvd Ste 4-317",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322257121",
"country_code": "US",
"telephone_number": "049-533-5537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVE",
"first_name": "MICHAEL",
"middle_name": "DOYLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-09",
"last_updated": "2024-09-26",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "SW18946",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW18946",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW18946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MALCOLM RANDALL VAMC",
"identifier": "57-3209933",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.