Thomas Francis Dougherty Jr., MS, LPC, NCP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC002694 Issued in PA

Practice address

189 Market St
Kingston, PA 18704-5400

Phone

(570) 709-0262

NPI assigned

Feb 26, 2014

Sex

Male

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

Enrolled in PA

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

Credentials

Master of Science

State licenses

Practice roles

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.

• John Alaimo DC LLC

  • Chiropractor
  • Kingston, PA
  • NPI 1003281031
  NPD (past)

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1831514967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045400",
            "telephone_number": "570-709-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045400",
            "telephone_number": "570-709-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "THOMAS",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS, LPC, NCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aunisha Desai, PA-C
• Allison Difebo
• Dawn Dimaria, LSW
• Patti A. Dompkosky, RPH
• Thomas M Doran, D.M.D.
• Catherine Douglas, LSW
• Dr. Brown'S Children'S Dental Center, PC
• Dragonette Chiropractic, LLC
• Ashley Dule
• Stephen A Dule, PAC

• Professional Counselor in Kingston, PA
• Providers in Kingston, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.