Individual provider Active NPI

Paul Francis Doherty, LMHC

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1902933815
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5304 Issued in MA
Practice address
14 Beacon St
Suite 801
Boston, MA 02108-3704
Phone
(617) 227-2622
Fax
(617) 227-5447
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5304 MA Primary

Addresses

Primary practice location

14 Beacon St
Suite 801
Boston, MA 02108-3704

Mailing address

PO Box 812911
Wellesley, MA 02482-0027
Phone (617) 686-9249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20240711000061 MA Practitioner - Mental Health Counselor 6002170628 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5304MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Family Counseling Service Inc CurrentSince Apr 18, 2024 Accepting new patients

Locations

5 Middlesex Ave
Unit 11
Wilmington, MA 01887
Phone (978) 658-9889

Organizations & group practices 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902933815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812911",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024820027",
            "telephone_number": "617-686-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BEACON ST",
            "address_2": "SUITE 801",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083704",
            "telephone_number": "617-227-2622",
            "fax_number": "617-227-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "PAUL",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.