Active NPI
Carol Anne Dougherty, MS PSYS LMFT
- Marriage & Family Therapist
- New Albany, IN
National Provider Identifier
1467529552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35000587
- Practice address
- 1919 State St
Dougherty Counseling Center Suite 202
New Albany, IN 47150 - Phone
- (812) 944-2532
- Fax
- (812) 944-2549
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 35000587 | IN | Primary |
Addresses
Primary practice location
1919 State St
Dougherty Counseling Center Suite 202
New Albany, IN 47150
Mailing address
1919 State St
Carol Dougherty Dougherty Counseling Center Suite 202
New Albany, IN 47150
Phone (812) 944-2532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35000587 | IN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467529552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 STATE ST",
"address_2": "CAROL DOUGHERTY DOUGHERTY COUNSELING CENTER SUITE 202",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "47150",
"telephone_number": "812-944-2532",
"fax_number": "812-944-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 STATE ST",
"address_2": "DOUGHERTY COUNSELING CENTER SUITE 202",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "47150",
"telephone_number": "812-944-2532",
"fax_number": "812-944-2549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "CAROL",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MS PSYS LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35000587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- 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.