Carolynn E Dougherty, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401015977 Issued in MI

Practice address

196 S Industrial Dr
Saline, MI 48176-9175

Phone

(734) 944-3446

NPI assigned

Dec 21, 2006

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

Enrolled in MI

Eligible to order & refer

• Part B services: No
• 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

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.

• Individual Care Center

  • Community/Behavioral Health Agency
  • Cincinnati, OH
  • NPI 1114105244
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1881758076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 S INDUSTRIAL DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769175",
            "telephone_number": "734-944-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 S INDUSTRIAL DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769175",
            "telephone_number": "734-944-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "CAROLYNN",
        "middle_name": "E",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David James Diehl, M.D.
• Sharon Kay Dodd Kimmey, M.D.
• Carole Verp Dodge, OTR
• Hannah Katherine Donaldson, MD
• Kiran Dornala, PT, DPT, MS
• McKenna Gene Drevno
• Jessica Michelle Drews, NP
• Chelsea Kathryn Dumas, PSY.D
• Jeffrey Norman Dzingle, DDS, MS
• Elite Counseling and Supervision

• Mental Health Counselor in Saline, MI
• Providers in Saline, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.