Individual provider Active NPI

Nick Wood Love, LMFT

  • Marriage & Family Therapist
  • Danville, KY
National Provider Identifier
1851748586
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
241569 Issued in KY
Practice address
120 N 3Rd St
Danville, KY 40422
Phone
(859) 759-1223
NPI assigned
May 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 241569 KY Primary

Addresses

Primary practice location

120 N 3Rd St
Danville, KY 40422

Mailing address

108 Saint Josephs CT
Danville, KY 40422-1471
Phone (859) 583-7811

Other identifiers 1

IdentifierTypeStateIssuer
1790731081MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
241569KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MDRN Health LLC Marriage & Family Therapist CurrentSince Sep 15, 2024 Accepting new patients
MDRN Healthcare Current Accepting new patients
Montana Couples Counseling LLC Marriage & Family Therapist Current Accepting new patients
Kentucky Counseling Associates, LLC PastSince Mar 3, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1851748586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SAINT JOSEPHS CT",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221471",
            "telephone_number": "859-583-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 3RD ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "40422",
            "telephone_number": "859-759-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "NICK",
        "middle_name": "WOOD",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "241569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.