MR. JUSTIN ROBERT DOTY M.ED., LPC
NPI 1245562529
Counselor - Professional in Blanchard, OK

Active since February 11, 2010PECOS Enrolled
2665 FOUR LAKES DR, BLANCHARD, OK 73010(405) 323-0548 Get Directions Write a Review

NPPES record last updated: November 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Justin Robert Doty M.ed., Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUSTIN ROBERT DOTY M.ED., LPC (NPI 1245562529) is an individual professional provider in Blanchard, Oklahoma, licensed in Oklahoma (4321) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1245562529
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JUSTIN ROBERT DOTYCredential: M.ED., LPC
Location Address2665 FOUR LAKES DRBlanchard, OK 73010-8922
Mailing Address2665 Four Lakes DrBlanchard, OK 73010-8922 · (405) 323-0548
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 11, 2010
Last NPPES UpdateNovember 19, 2023
NPPES CertifiedNovember 19, 2023
NPI 1245562529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OK · 4321
2665 FOUR LAKES DR, Blanchard, OK 73010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Justin Robert Doty M.ed., Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860835030
PECOS Enrollment IDI20240205004448
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Doty's NPI number?

The NPI number for Justin Doty is 1245562529. It was assigned to this individual provider in the NPPES registry on February 11, 2010.

Where is Justin Doty located?

Justin Doty practices at 2665 Four Lakes Dr, Blanchard, OK 73010. The listed phone number is (405) 323-0548.

What is Justin Doty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Justin Doty enrolled in Medicare?

Yes. Justin Doty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Doty was last updated on November 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.