Active NPI
Doyle Dean Hibbs Jr., BS
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1639213945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1790 W 11TH Ave
Suite 290
Eugene, OR 97402-3758 - Phone
- (541) 686-1262
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1790 W 11TH Ave
Suite 290
Eugene, OR 97402-3758
Mailing address
2135 W 12TH Ave Apt 1
Eugene, OR 97402-3559
Phone (541) 338-0262
Other names 1
- Mr. Doyle Dean Hibbs Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639213945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 W 12TH AVE APT 1",
"city": "EUGENE",
"state": "OR",
"postal_code": "974023559",
"telephone_number": "541-338-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 W 11TH AVE",
"address_2": "SUITE 290",
"city": "EUGENE",
"state": "OR",
"postal_code": "974023758",
"telephone_number": "541-686-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBBS",
"first_name": "DOYLE",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOYLE",
"last_name": "HIBBS",
"middle_name": "DEAN",
"prefix": "MR.",
"suffix": "JR.",
"credential": "BS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.