Colleen Marie Dougherty, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

41 Issued in CT

Practice address

19 Flat Rock Dr
Easton, CT 06612-1701

Phone

(203) 505-1255

NPI assigned

Apr 14, 2025

Last updated

Apr 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Colleen Marie McGillis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1316732837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066120112",
            "telephone_number": "203-505-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FLAT ROCK DR",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121701",
            "telephone_number": "203-505-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "MS, CGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CT",
            "license": "41",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "MCGILLIS",
            "middle_name": "MARIE",
            "credential": "MS, CGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Genetic Counselor (M.S.) in Easton, CT
• Providers in Easton, CT by specialty
• Genetic Counselor (M.S.) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.