KATHRYN DOUGHERTY (NPI# 1053821470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053821470 |
| Entity Type | Individual |
| Full Name | KATHRYN DOUGHERTY |
| Credential | LPC, NCC, CCTP |
| Practice Address |
233 Ne B St Ste 201 Grants Pass OR 97526 |
| Mailing Address |
870 S Oregon St Jacksonville OR 97530-9321 |
| Practice Telephone | 5413733046 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C4954 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 702 Sw Ramsey Ave Ste 120, Grants Pass, OR 975275859 | 5412442197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567449 | Kathryn Dougherty | Counselor | 415 Neponset Ave Ste 3, Dorchester, MA 02122-3169 | 2020-04-18 |
| 1386988129 | Kathryn Mcguire Dougherty | Physical Therapist | 9160 Belvoir Woods Pkwy, Fort Belvoir, VA 22060-2703 | 2012-11-17 |
| 1578689790 | Kathryn Jordan Dougherty | Physical Therapist | 638 Brandywine Pkwy, West Chester, PA 19380-4278 | 2007-03-21 |
| Street Address |
233 NE B ST STE 201 |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538603618 | Michael Peter Higginbotham II | Counselor | 233 Ne B St Ste 201, Grants Pass, OR 97526-2108 | 2016-12-08 |
| 1598307415 | Christina Rivers | Counselor | 233 Ne B St Ste 201, Grants Pass, OR 97526-2108 | 2019-10-11 |
| 1639646391 | Amanda Mae Metcalf | Student in an Organized Health Care Education/Training Program | 233 Ne B St Ste 201, Grants Pass, OR 97526-2108 | 2018-10-30 |
| 1164952164 | Rising Phoenix Counseling Services, LLC | Clinic/Center | 233 Ne B St Ste 201, Grants Pass, OR 97526-2108 | 2017-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708559 | Laurie Sue Urbach | Counselor | 501 Sw Western Ave, Grants Pass, OR 97526-5811 | 2020-10-23 |
| 1750988713 | Priscilla Ann Stack | Counselor | 214 Nw 3rd St, Grants Pass, OR 97526-1913 | 2020-10-02 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1063996072 | Daniel Dirk | Counselor | 777 Ne 7th St Ste 107, Grants Pass, OR 97526-1632 | 2018-09-17 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| 1336557388 | Sonia Leamons | Counselor | 1331 Se Herrick Ln, Grants Pass, OR 97526-4015 | 2014-07-22 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1972920668 | Tressi Innana Albee | Counselor | 121 Ne A Street, Suite D, Grants Pass, OR 97526 | 2014-03-20 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on KATHRYN DOUGHERTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.