Active NPI
Ann Marie Love, PHD
- Counseling Psychologist
- Traverse City, MI
National Provider Identifier
1912083825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301007474
- Practice address
- 10161 E Pickwick CT
Suite a
Traverse City, MI 49684-5239 - Phone
- (231) 947-2292
- Fax
- (231) 995-9226
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | L934427 | MI | |
| Counseling Psychologist | 103TC1900X | 6301007474 | MI | Primary |
Addresses
Primary practice location
10161 E Pickwick CT
Suite a
Traverse City, MI 49684-5239
Mailing address
10161 E Pickwick CT
Suite a
Traverse City, MI 49684-5239
Phone (231) 947-2292
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301007474 | MI | MD | Counseling Psychologist |
| L934427 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1912083825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10161 E PICKWICK CT",
"address_2": "SUITE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496845239",
"telephone_number": "231-947-2292",
"fax_number": "231-995-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10161 E PICKWICK CT",
"address_2": "SUITE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496845239",
"telephone_number": "231-947-2292",
"fax_number": "231-995-9226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "ANN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "L934427",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301007474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.