Active NPI
Tanya Ann Doyle, LPCC
- Mental Health Counselor
- Crandon, WI
National Provider Identifier
1801366695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7845
- Practice address
- 8201 Mish Ko Swen Dr
Crandon, WI 54520-8631 - Phone
- (715) 478-4332
- NPI assigned
- Dec 5, 2018
- Last updated
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2003 | MN | |
| Mental Health Counselor | 101YM0800X | 7845 | WI | Primary |
Addresses
Primary practice location
8201 Mish Ko Swen Dr
Crandon, WI 54520-8631
Mailing address
819 Ballentine Rd
Menomonie, WI 54751-3740
Phone (715) 523-0563
Other practice location 1
412 W Kinne Street
Ellsworth, WI 54011
Phone (715) 273-6766
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 |
|---|---|---|---|
| 2003 | MN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1801366695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 BALLENTINE RD",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547513740",
"telephone_number": "715-523-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 MISH KO SWEN DR",
"city": "CRANDON",
"state": "WI",
"postal_code": "545208631",
"telephone_number": "715-478-4332"
}
],
"practiceLocations": [
{
"address_1": "412 W Kinne Street",
"address_purpose": "LOCATION",
"city": "Ellsworth",
"state": "WI",
"postal_code": "54011",
"country_code": "US",
"telephone_number": "715-273-6766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOYLE",
"first_name": "TANYA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2023-03-13",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "2003",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "7845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crandon, WI
- Crandon Vision Center
- Kristin Mary Dahms
- Shelby Lynn Daniels, SAC-IT
- Jolene A Derfus, SAC-IT
- Laura Donatelle, DNP APRN FNP
- Tracy Lynne Ferraro-Schumacher, MSW
- Forest County Department of Social Services
- Forest County Potawatomi Community (Potawatomi Health & Wellness Center)
- Forest County Potawatomi Health & Wellness
- Forest County Potawatomi Health & Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.