Michael Doyle, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

130669 Issued in CA

Practice address

508 James St
Los Angeles, CA 90065-2455

Phone

(323) 428-8655

NPI assigned

Feb 9, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Martina Anne Wilson Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Change Within Reach IncGroup PAC ID 2062723810, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Change Within Reach Inc

  • Adult Mental Health Clinic/Center
  • Encino, CA
  • NPI 1003207002
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1295489086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S LAKE AVE # 924",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013515",
            "telephone_number": "323-428-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 JAMES ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900652455",
            "telephone_number": "323-428-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "MICHAEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "130669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTINA",
            "last_name": "WILSON",
            "middle_name": "ANNE",
            "credential": "AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eamon Doyle, PHD
• Gerard Doyle
• Megan Aileen Doyle, M.S.W.
• Melissa Doyle
• Melissa Parra Doyle, NURSE PRACTITIONER
• Patrick Kevin Doyle, O.D.
• Doyles RX Pharmacy
• Charmeka Nannette Dozier
• Lisa Michele Dozier, MFT
• Paul Dozier

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.