Robert Paul Doherty, LMHC
Individual provider Active NPI Mental Health Counselor · Silver City, NM
NPI 1164044780 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1164044780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CTB-2024-0083 (NM)
- Practice address
- 1007 N Pope St
Silver City, NM 88061-5161 - Phone
- (575) 388-1511
- Fax
- (515) 313-8236
- NPI assigned
- May 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hidalgo Medical Services
Practice addresses (Care Compare)
1007 N Pope St
HMS Community Health Center
Silver City, NM 88061-5161
Phone (575) 388-1511
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240430002738 | NM | Practitioner - Mental Health Counselor | 3779923396 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2024-0083 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidalgo Medical Services | Current |
Accepting new patients | |
| Hidalgo Medical Services | Current | Accepting new patients |
Locations
530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368
1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | CTB-2024-0083 | NM | Yes |
Addresses
Primary practice location
1007 N Pope St
Silver City, NM 88061-5161
Mailing address
530 De Moss St
Lordsburg, NM 88045-2617
Phone (575) 542-8384
Other providers in Silver City, NM
- Ronnie Diener
- Princely-Roy Nunka Dikuba
- Min-Hong Ding
- Ryan Dingess
- Gloria Ruth Dirmeyer
- Elizette Dominguez
- Dona Ana Medical Supply
- Donald J Stinar MD
- Mark S. Donnell
- Melissa Dozier
All providers in Silver City, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.