Stayce Dougherty, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9130 Issued in MA

Practice address

303 Beech St
Holyoke, MA 01040-3968

Phone

(413) 540-1234

NPI assigned

Sep 14, 2010

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 identifiers 1

Other names 1

• Stayce Favreau Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/rvccinc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River Valley Counseling Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holyoke, MA
  • NPI 1851444616
  Medicare reassignment NPD
• River Valley Counseling Center, Inc

  • Community/Behavioral Health Agency
  • Holyoke, MA
  • NPI 1003266727
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1730497686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WOOD STREET",
            "city": "SOUTHWICK",
            "state": "MA",
            "postal_code": "01077",
            "telephone_number": "413-207-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403968",
            "telephone_number": "413-540-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "STAYCE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300881",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STAYCE",
            "last_name": "FAVREAU",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alanna Donnelly
• Daniela Beatriz Donoso Pena, MD
• Mary Ellen Donovan, OTR
• Tara Donovan
• Lauren Dougherty
• Brenda Douglas
• Jonathan Michael Douglas
• Timothy Dowgiert, RN
• Dr. Minghao Eric Chen, P.C.
• Deanna Drisko

• Mental Health Counselor in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.