Active NPI
Joshua Raphael Daugherty, LPC
- Professional Counselor
- Denver, CO
National Provider Identifier
1922790070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0018169
- Practice address
- 1575 Franklin Ave
Denver, CO 80218 - Phone
- (303) 569-7774
- NPI assigned
- May 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0018169 | CO | Primary |
Addresses
Primary practice location
1575 Franklin Ave
Denver, CO 80218
Mailing address
7509 Baird Ave
Reseda, CA 91335-2817
Phone (303) 569-7774
Other practice location 1
7509 Baird Ave
Reseda, CA 91335-2817
Phone (303) 569-7774
Other names 1
- Rafi Daugherty
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0018169 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queer Asterisk | Professional | Current | Accepting new patients |
| Queer Asterisk | Past | Accepting new patients |
Locations
1575 N Franklin St
Denver, CO 80218
Phone (303) 253-2187
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.
-
- Mental Health Counselor
- Boulder, CO
- NPI 1437984382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1922790070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7509 BAIRD AVE",
"city": "RESEDA",
"state": "CA",
"postal_code": "913352817",
"telephone_number": "303-569-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 FRANKLIN AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "80218",
"telephone_number": "303-569-7774"
}
],
"practiceLocations": [
{
"address_1": "7509 Baird Ave",
"address_purpose": "LOCATION",
"city": "Reseda",
"state": "CA",
"postal_code": "913352817",
"country_code": "US",
"telephone_number": "303-569-7774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "JOSHUA",
"middle_name": "RAPHAEL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-25",
"last_updated": "2023-05-25",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0018169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAFI",
"last_name": "DAUGHERTY",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.