Brian Jack Coyle, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0730000776 Issued in VA

Practice address

7305 Hampton Blvd
Norfolk, VA 23505-2908

Phone

(757) 623-2700

NPI assigned

Jan 10, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Tidewater Pastoral Counseling Services, Inc

  • Pastoral Counselor
  • Norfolk, VA
  • NPI 1407014509
  Medicare reassignment NPD

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1659181758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 HAMPTON BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235052908",
            "telephone_number": "757-623-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 HAMPTON BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235052908",
            "telephone_number": "757-623-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "BRIAN",
        "middle_name": "JACK",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0730000776",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0730000776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet L Cox, LCSW
• Lynetta Frances Cox, NNP
• Nicole Cox, DO
• Theresa Darlene Cox, PA
• Amanda Lee Coyle, NP
• Bianca Craig
• Melinda McGhee Craig, PA-C
• Kimberly Michelle Crain, APRN,FNP-C,PMHNP-BC
• Mark Cramer, M.D.
• Edwin Fulghum Crandley, MD

• Marriage & Family Therapist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.