Individual provider Active NPI

Allison Danielle Dougherty, LPC

  • Counselor
  • Clarkston, MI
National Provider Identifier
1891001970
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401009500 Issued in MI
Practice address
8062 Ortonville Rd
Clarkston, MI 48348-4456
Phone
(248) 625-2970
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1371973 MI
Counselor 101Y00000X 6401009500 MI Primary

Addresses

Primary practice location

8062 Ortonville Rd
Clarkston, MI 48348-4456

Mailing address

8040 Ortonville Rd Ste a
Clarkston, MI 48348-4468
Phone (248) 303-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401009500MIMDCounselor
1371973MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Dougherty, Ma, LPC, PLLC Professional CurrentSince Oct 25, 2020 Accepting new patients
Richard Kneip, PH.D., P.C. PastSince Feb 1, 2004 Accepting new patients

Locations

8040 Ortonville Rd
Ste A
Clarkston, MI 48348
Phone (248) 303-3033

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1891001970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 ORTONVILLE RD STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484468",
            "telephone_number": "248-303-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8062 ORTONVILLE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484456",
            "telephone_number": "248-625-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "ALLISON",
        "middle_name": "DANIELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "1371973",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.