Individual provider Active NPI

Hanna Doyle, LMHC

  • Mental Health Counselor
  • Poulsbo, WA
National Provider Identifier
1083132757
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61365091 Issued in WA
Practice address
19500 10TH Ave NE # 270
Poulsbo, WA 98370-6553
Phone
(360) 799-1006
Fax
(501) 603-0324
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A2101189 AR
Mental Health Counselor 101YM0800X LH61365091 WA Primary

Addresses

Primary practice location

19500 10TH Ave NE # 270
Poulsbo, WA 98370-6553

Mailing address

19500 10TH Ave NE # 270
Poulsbo, WA 98370-6553
Phone (360) 799-1006

Other practice location 1

400 Hardin Rd Ste 150
Little Rock, AR 72211-3507
Phone (501) 603-2147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124004130 WA Practitioner - Mental Health Counselor 1052764131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A2101189ARMDMental Health Counselor
LH61365091WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1083132757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 10TH AVE NE # 270",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706553",
            "telephone_number": "360-799-1006",
            "fax_number": "501-603-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 10TH AVE NE # 270",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706553",
            "telephone_number": "360-799-1006",
            "fax_number": "501-603-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Hardin Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722113507",
            "country_code": "US",
            "telephone_number": "501-603-2147",
            "fax_number": "501-603-0324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "HANNA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2101189",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61365091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

Verify at the official NPI Registry.