Active NPI
Jennifer Lydia Doyle, DOCTOR, L.P.C.
- Professional Counselor
- North Myrtle Beach, SC
National Provider Identifier
1669640256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1699
- Practice address
- 1602 Highway 17 S
North Myrtle Beach, SC 29582-3948 - Phone
- (843) 385-1595
- NPI assigned
- Feb 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1699 | SC | |
| Mental Health Counselor | 101YM0800X | 1699 | SC | |
| Professional Counselor | 101YP2500X | 1699 | SC | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 1699 | SC | |
| Family Psychologist | 103TF0000X | 1699 | SC | |
| Marriage & Family Therapist | 106H00000X | 1699 | SC |
Addresses
Primary practice location
1602 Highway 17 S
North Myrtle Beach, SC 29582-3948
Mailing address
PO Box 2178
Myrtle Beach, SC 29578-2178
Phone (843) 385-1595
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1699 | SC | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1669640256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2178",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295782178",
"telephone_number": "843-385-1595",
"fax_number": "843-347-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 HIGHWAY 17 S",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295823948",
"telephone_number": "843-385-1595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "JENNIFER",
"middle_name": "LYDIA",
"name_prefix": "Mrs.",
"credential": "DOCTOR, L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "1699",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "1699",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "1699",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "SC",
"license": "1699",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "SC",
"license": "1699",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "1699",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.