Jill Dougherty, MA PSYCHOLOGY LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00006805 Issued in WA

Practice address

1701 Creekside Loop
Yakima, WA 98908

Phone

(509) 965-6287

Fax

(509) 853-1358

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033239116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CREEKSIDE LOOP",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98908",
            "telephone_number": "509-965-6287",
            "fax_number": "509-853-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CREEKSIDE LOOP",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98908",
            "telephone_number": "509-965-6287",
            "fax_number": "509-853-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "MA PSYCHOLOGY LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Ray Dorais, M.ED.
• Doran J. Riehl, D.D.S., P.S.
• Carlos Dorantes, DDS
• Katherine Dority
• Jason Doty
• Roland Evan Dougherty, PH.D.
• Douglas & Topper PS
• Douglas Topper Wilson Miller and Bosshardt PS
• Chad Richard Douglas, D.O.
• David L Douglas

• Mental Health Counselor in Yakima, WA
• Providers in Yakima, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.