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JACKSON DOYLE LCSW
NPI 1770151003
Social Worker - Clinical in Ventura, CA

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment
35 W MAIN ST STE B346, VENTURA, CA 93001(805) 794-0010 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jackson Doyle Lcsw NPPES

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

JACKSON DOYLE LCSW (NPI 1770151003) is an individual clinical provider in Ventura, California, licensed in California (101326) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1770151003
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACKSON DOYLECredential: LCSW
Location Address35 W MAIN ST STE B346Ventura, CA 93001-4500
Mailing Address35 W Main St Ste B346Ventura, CA 93001-4500 · (805) 794-0010
Phone(805) 794-0010
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 14, 2021
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1770151003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 101326
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
35 W MAIN ST STE B346, Ventura, CA 93001
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Secondary Practice Location 1

Location 11411 E 31st St # K6Oakland, CA 94602-1018 · Phone (510) 437-4800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackson Doyle Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981008851
PECOS Enrollment IDI20210814000476
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.

Medicare Billing Reassignment

Medicare enrollment records show Jackson Doyle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alameda Health System
271 mi
Federally Qualified Health Center (FQHC)
6066 CIVIC TERRACE AVE
Newark, CA 94560
  • Reassigned Medicare billing, California enrollment
  • 900 clinicians in this Medicare group
NPI 1497956288 (510) 505-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.32 – $185.36
Typical copayment $0.00 (range $15.58 – $46.34)
Most-billed visit code NA
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jackson Doyle's NPI number?

The NPI number for Jackson Doyle is 1770151003. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Jackson Doyle located?

Jackson Doyle practices at 35 W Main St Ste B346, Ventura, CA 93001. The listed phone number is (805) 794-0010.

What is Jackson Doyle's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jackson Doyle enrolled in Medicare?

Yes. Jackson Doyle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jackson Doyle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Doyle reassigns Medicare benefits to Alameda Health System (Newark, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackson Doyle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jackson Doyle was last updated on August 29, 2024. 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.