KRISTEN LEE DOUGHERTY (NPI# 1629422043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629422043 |
Entity Type | Individual |
Full Name | KRISTEN LEE DOUGHERTY |
Practice Address |
1305 Wyoming St Missoula MT 59801-1725 |
Practice Telephone | 4065329770 |
Practice Fax Number | 4065413034 |
Mailing Telephone | 4065329770 |
Mailing Fax Number | 4065413034 |
Enumeration Date | 2016-04-21 |
Last Update Date | 2016-04-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
BBH-LCPC-LIC-130 | MT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235690009 | Kristen Dougherty | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104-1004 | 2019-03-26 |
Street Address |
1305 WYOMING ST |
City | MISSOULA |
State | MT |
Zip Code | 59801-1725 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346323441 | Torgeir John Finsaas | Psychiatry & Neurology | 1305 Wyoming St, Missoula, MT 59801-1725 | 2006-10-23 |
1932727716 | Amanda Michele Powers | Counselor | 1305 Wyoming St, Missoula, MT 59801-1725 | 2020-07-08 |
1679105225 | Nicole Gratch | Social Worker | 1305 Wyoming St, Missoula, MT 59801-1725 | 2020-02-11 |
1073152187 | Joey Lee Moore | Counselor | 1305 Wyoming St, Missoula, MT 59801-1725 | 2020-01-06 |
1700434867 | Melinda Ward | Social Worker | 1305 Wyoming St, Missoula, MT 59801-1725 | 2019-08-30 |
1205480118 | Ashley Cheung | Social Worker | 1305 Wyoming St, Missoula, MT 59801-1725 | 2019-07-29 |
1366096687 | Amora Wilkins | Social Worker | 1305 Wyoming St, Missoula, MT 59801-1725 | 2019-07-25 |
1578125654 | Allyson Foster | Counselor | 1305 Wyoming St, Missoula, MT 59801-1725 | 2019-06-28 |
1053975128 | Anne Lane | Counselor | 1305 Wyoming St, Missoula, MT 59801-1725 | 2019-04-24 |
1255994521 | Sherrie Mobley | Counselor | 1305 Wyoming St, Missoula, MT 59801-1725 | 2019-04-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
Find all providers in zip 59801 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811501190 | Sabina Sabyrkulova | Counselor | 313 Sw Higgins Ave, Missoula, MT 59803-1405 | 2020-09-03 |
1437712247 | Abrei Cloud Lcsw LLC | Counselor | 111 N Higgins Ave Ste 200-5, Missoula, MT 59802-4437 | 2019-04-17 |
1053876912 | Maegan Rides At The Door | Counselor | 4744 Sonoma St, Missoula, MT 59808-9671 | 2019-02-05 |
1336649011 | Molly Murphy Counseling | Counselor | 1515 Fairview Ave Ste 240, Missoula, MT 59801-7821 | 2018-02-19 |
1508366881 | Kimberly Kay Parrow | Counselor | 401 S 1st St W, Missoula, MT 59801-1850 | 2018-02-13 |
1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
1356888069 | Julienne Reid Stickney | Counselor | 410 Expressway Ste C, Missoula, MT 59808-1537 | 2017-01-20 |
1558805002 | Dara Kim Newman | Counselor | 510 Arbor Dr, Missoula, MT 59802-3126 | 2016-12-16 |
1457806598 | Stephanie Nold | Counselor | 501 Sw Higgins Ave Apt C, Missoula, MT 59803-1451 | 2016-08-18 |
1881042190 | Molly Murphy | Counselor | 405 S 1st St W, Missoula, MT 59801-1850 | 2016-05-26 |
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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.