Individual provider Active NPI

Lisa Doyle, CRADC, MA

  • Counselor
  • Saint Joseph, MO
National Provider Identifier
1942692330
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3131 Frederick Ave Ste 239
Saint Joseph, MO 64506-2992
Phone
(816) 205-0082
NPI assigned
Feb 23, 2015
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

3131 Frederick Ave Ste 239
Saint Joseph, MO 64506-2992

Mailing address

156 S 4TH St
Cosby, MO 64436-8174
Phone (816) 205-0082

Other practice location 1

3442 Ashland Ave
Saint Joseph, MO 64506-1333
Phone (816) 749-4060

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Awareness Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1942692330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 S 4TH ST",
            "city": "COSBY",
            "state": "MO",
            "postal_code": "644368174",
            "telephone_number": "816-205-0082",
            "fax_number": "816-749-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 FREDERICK AVE STE 239",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062992",
            "telephone_number": "816-205-0082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3442 Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645061333",
            "country_code": "US",
            "telephone_number": "816-749-4060",
            "fax_number": "816-749-4061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "CRADC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.