Connie Jane Doyle, MA. LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401002712 Issued in MI

Practice address

31000 Telegraph Rd Ste 280
Bingham Farms, MI 48025-4319

Phone

(248) 505-0073

NPI assigned

Feb 12, 2020

Last updated

Jul 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1538791090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29143 ROCK CREEK DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761880",
            "telephone_number": "248-505-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31000 TELEGRAPH RD STE 280",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254319",
            "telephone_number": "248-505-0073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30300 Telegraph Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254505",
            "country_code": "US",
            "telephone_number": "248-505-0073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "CONNIE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MA. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401002712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.