Individual provider Active NPI

Joan M Doherty, MA LMFT LPC

  • Marriage & Family Therapist
  • Bethlehem, PA
National Provider Identifier
1902087711
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000034 Issued in PA
Practice address
3005 Brodhead Rd
Suite 280
Bethlehem, PA 18020-9299
Phone
(610) 868-5606
NPI assigned
Nov 20, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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 PC000182 PA
Marriage & Family Therapist 106H00000X MF000034 PA Primary

Addresses

Primary practice location

3005 Brodhead Rd
Suite 280
Bethlehem, PA 18020-9299

Mailing address

3005 Brodhead Rd
Suite 280
Bethlehem, PA 18020-9299
Phone (610) 868-5606

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC000182PAMDProfessional Counselor
MF000034PAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1902087711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 BRODHEAD RD",
            "address_2": "SUITE 280",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209299",
            "telephone_number": "610-868-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 BRODHEAD RD",
            "address_2": "SUITE 280",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209299",
            "telephone_number": "610-868-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "JOAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MA LMFT LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000182",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.