Active NPI
Jennifer C Doyle, LCSW
- Clinical Social Worker
- Yukon, OK
National Provider Identifier
1851899371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7518LCSW
- Practice address
- 11217 W Reno Ave
Yukon, OK 73099-7569 - Phone
- (918) 208-8645
- NPI assigned
- Jan 30, 2018
- 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 | |||
| Clinical Social Worker | 1041C0700X | 7518LCSW | OK | Primary |
Addresses
Primary practice location
11217 W Reno Ave
Yukon, OK 73099-7569
Mailing address
12444 N.W. 10TH Street
Suite 202 PMB 204
Yukon, OK 73099
Phone (918) 208-8645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7518LCSW | OK | MD | Clinical Social Worker |
| 7518 | OK | MD | Diagnostic Radiology Physician |
Interoperability endpoints
- lifestancehealth.jenniferdoyle@148561.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1851899371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12444 N.W. 10TH STREET",
"address_2": "SUITE 202 PMB 204",
"city": "YUKON",
"state": "OK",
"postal_code": "73099",
"telephone_number": "918-208-8645",
"fax_number": "405-632-1976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11217 W RENO AVE",
"city": "YUKON",
"state": "OK",
"postal_code": "730997569",
"telephone_number": "918-208-8645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "JENNIFER",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "7518LCSW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.