Individual provider Active NPI

Darren J Daugherty, PHD, LPC, RPT, CFLE

  • Professional Counselor
  • Waxahachie, TX
National Provider Identifier
1740763457
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74663 Issued in TX
Practice address
133 Chieftain Dr Ste 105
Waxahachie, TX 75165-1587
Phone
(810) 373-2773
NPI assigned
Sep 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74663 TX Primary

Addresses

Primary practice location

133 Chieftain Dr Ste 105
Waxahachie, TX 75165-1587

Mailing address

1107 Lone Elm Rd
Waxahachie, TX 75167-8119
Phone (972) 921-8459

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
74663TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1740763457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 LONE ELM RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751678119",
            "telephone_number": "972-921-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CHIEFTAIN DR STE 105",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651587",
            "telephone_number": "810-373-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "DARREN",
        "middle_name": "J",
        "credential": "PHD, LPC, RPT, CFLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; 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.