Stacey Dougan, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC011626 Issued in GA

Practice address

696 Mountain Dr NE
Atlanta, GA 30342-3904

Phone

(404) 276-6965

NPI assigned

Oct 21, 2020

Last updated

Oct 21, 2020By 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

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1780283713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 MOUNTAIN DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423904",
            "telephone_number": "404-276-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MOUNTAIN DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423904",
            "telephone_number": "404-276-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGAN",
        "first_name": "STACEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Dottery
• Doublecare ABA Ga LLC (DoubleCare ABA)
• Brendan Joseph Doucette, D.O.
• Robin Doucette, CPNP-PC
• Audrey Claire Douches
• Nikisha Moet Douge, LMFT
• Rola Doughan
• Stacy D. Dougherty-Welch, M.D.
• Emma Dougherty, PA
• Sonja Doughlin, MD

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.