Individual provider Active NPI

Kenneth Doyle, M.A., LCMHC, NCC

  • Mental Health Counselor
  • Morganton, NC
National Provider Identifier
1003411026
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4339 Garland Johnson Rd
Morganton, NC 28655-8604
Phone
(828) 423-3356
NPI assigned
Nov 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4339 Garland Johnson Rd
Morganton, NC 28655-8604

Mailing address

4339 Garland Johnson Rd
Morganton, NC 28655-8604
Phone (828) 423-3356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231229000724 NC Practitioner - Mental Health Counselor 9830549054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4339 Garland Johnson Rd
Morganton, NC 28655-8604
Phone (828) 423-3356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
16816NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Spot PLLC Mental Health CurrentSince Dec 1, 2023 Accepting new patients
Carolina Therapeutic Services, Inc Mental Health CurrentSince Mar 1, 2024 Accepting new patients
Carolina Therapeutic Services, Inc Mental Health CurrentSince Mar 1, 2024 Accepting new patients

Locations

1528 Union Rd
Gastonia, NC 28054
Phone (828) 758-1320

1528 Union Rd
Ste B
Gastonia, NC 28054
Phone (828) 758-1320

Organizations & group practices 3

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1003411026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 GARLAND JOHNSON RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558604",
            "telephone_number": "828-423-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 GARLAND JOHNSON RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558604",
            "telephone_number": "828-423-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "M.A., LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.