Jennifer K Doyle, LPC
Individual provider Active NPI Mental Health Counselor · Nevada, MO
NPI 1295291672 · NPPES record last updated Dec 30, 2025
Key facts
- NPI
- 1295291672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2017006589 (MO)
- Practice address
- 1601 W Hickory St
Nevada, MO 64772-1727 - Phone
- (417) 667-1677
- Fax
- (417) 530-1479
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017006589 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Spaces Counseling | Mental Health | Current |
Accepting new patients |
| Friendship House | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2017006589 | MO | Yes |
Addresses
Primary practice location
1601 W Hickory St
Nevada, MO 64772-1727
Mailing address
1601 W Hickory St
Nevada, MO 64772-1727
Phone (417) 667-1677
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All providers in Nevada, MO · Mental Health Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.