Individual provider Active NPI

Dennis Dean Doyle, LPC

  • Professional Counselor
  • Independence, MO
National Provider Identifier
1922644699
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2017034992 Issued in MO
Practice address
4200 Little Blue Pkwy Ste 360
Independence, MO 64057-8317
Phone
(816) 373-9240
NPI assigned
Nov 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2017034992
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2017034992 MO Primary

Addresses

Primary practice location

4200 Little Blue Pkwy Ste 360
Independence, MO 64057-8317

Mailing address

4200 Little Blue Pkwy Ste 360
Independence, MO 64057-8317
Phone (816) 373-9243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260530000293 MO Practitioner - Mental Health Counselor 9133699176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3127 Round Prairie Rd
Oak Grove, MO 64075-5403

4200 Little Blue Pkwy
Suite 360
Independence, MO 64057-8301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017034992MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diakonos Inc Professional CurrentSince Nov 24, 2019 Accepting new patients
Brian a Fidler Professional CurrentSince Nov 24, 2019 Accepting new patients

Locations

4200 Little Blue Pkwy
Ste 360
Independence, MO 64057
Phone (816) 373-9240

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1922644699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LITTLE BLUE PKWY STE 360",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640578317",
            "telephone_number": "816-373-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LITTLE BLUE PKWY STE 360",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640578317",
            "telephone_number": "816-373-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "DENNIS",
        "middle_name": "DEAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "2017034992",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017034992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.