Lindsay Wallace Dougherty, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2766 Issued in CO

Practice address

320 E Fontanero St Ste 301
Colorado Springs, CO 80907-7526

Phone

(719) 358-9103

Fax

(719) 355-1435

NPI assigned

Feb 22, 2007

Last updated

Mar 17, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lindsay W Dougherty LPC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1730682451
  NPD
• Lindsay W Dougherty LPC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1932601705
  NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760517494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 WILSON RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193553",
            "telephone_number": "719-291-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E FONTANERO ST STE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077526",
            "telephone_number": "719-358-9103",
            "fax_number": "719-355-1435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5925 Wilson Rd",
            "address_2": "SUITE 250",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809193553",
            "country_code": "US",
            "telephone_number": "719-590-9246",
            "fax_number": "719-590-9246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "LINDSAY",
        "middle_name": "WALLACE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "2766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.