Individual provider Active NPI

Barbara Wise Doyle, LPC

  • Mental Health Counselor
  • Edmond, OK
National Provider Identifier
1093762007
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18 Issued in OK
Practice address
2524 N Broadway
Suite 323
Edmond, OK 73034-4133
Phone
(405) 922-2608
Fax
(405) 657-2420
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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 18 OK Primary

Addresses

Primary practice location

2524 N Broadway
Suite 323
Edmond, OK 73034-4133

Mailing address

2524 N Broadway
Suite 323
Edmond, OK 73034-4133
Phone (405) 922-2608

Other names 1

  • Barbara Sue Wise Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240215004174 OK Practitioner - Mental Health Counselor 4981048139 Practice locations: Edmond, OK

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2524 N Broadway
Suite 323
Edmond, OK 73034-4177
Phone (405) 529-6578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18OKMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1093762007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 N BROADWAY",
            "address_2": "SUITE 323",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344133",
            "telephone_number": "405-922-2608",
            "fax_number": "405-657-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 N BROADWAY",
            "address_2": "SUITE 323",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344133",
            "telephone_number": "405-922-2608",
            "fax_number": "405-657-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "BARBARA",
        "middle_name": "WISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "WISE",
            "middle_name": "SUE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.