Individual provider Active NPI

Katharine Allyson Doyle, LMHC

  • Mental Health Counselor
  • Avondale, AZ
National Provider Identifier
1891462057
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19373 Issued in FL
Practice address
12601 W Fairmount Ave
Avondale, AZ 85392-6304
Phone
(770) 344-7237
NPI assigned
Aug 25, 2021
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH19373 FL Primary

Addresses

Primary practice location

12601 W Fairmount Ave
Avondale, AZ 85392-6304

Mailing address

12601 W Fairmount Ave
Avondale, AZ 85392-6304
Phone (770) 344-7237

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SimplePractice.com Other

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

LicenseStateTypeSpecialty
MH19373FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1891462057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 W FAIRMOUNT AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926304",
            "telephone_number": "770-344-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 W FAIRMOUNT AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926304",
            "telephone_number": "770-344-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "KATHARINE",
        "middle_name": "ALLYSON",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice.com",
            "affiliation": "N",
            "endpointDescription": "I use this service to store client records and communicate with clients compliant with HIPAA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "storing client records, note keeping, client communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "note keeping, EHR service, HIPAA compliant",
            "address_1": "12601 W Fairmount Ave",
            "city": "Avondale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853926304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.