David T. Dougher, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1464 Issued in OR

Practice address

965 Liberty St SE
Salem, OR 97302-4138

Phone

(503) 588-2004

Fax

(503) 588-2415

NPI assigned

Jan 12, 2007

Last updated

Jan 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Polk Yamhill and Marion Child Treatment Services IncGroup PAC ID 1557357993, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Polk Yamhill & Marion Child Treatment Services Inc

  dba Poyama Counseling Services

  • Counselor
  • Salem, OR
  • NPI 1760685176

  Clinical

  Medicare reassignment Care Compare group NPD
• Polk, Yamhill, & Marion Treatment Services

  • Community/Behavioral Health Agency
  • Independence, OR
  • NPI 1760540975
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1750431441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 NW WIDGEON PL",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303394",
            "telephone_number": "541-752-1102",
            "fax_number": "503-588-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024138",
            "telephone_number": "503-588-2004",
            "fax_number": "503-588-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHER",
        "first_name": "DAVID",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "1464",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Megan Donovan, MD
• Thomas Wilson Dooley, MS,LPC, CRC
• Jeffrey R Doran, B.S., Q.M.H.A.
• Dorin Kemmerle MD LLC (Sprout Pediatrics)
• Rebecca Dorsey, PMHNP, FNP, ENP
• Ladina M Dougherty
• Nancy K Dougherty, MD
• Douglas J. Schubert,D.C., P.C.
• Douglas Whitehead MD PC (Proactive MD SAIF)
• Jeneane Douglas, LPTA, C-SLPA, B.S.

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.