Jamie Renee Daugherty, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A1407104 Issued in AR

Practice address

514 W Faulkner St
El Dorado, AR 71730-4519

Phone

(870) 863-5153

Fax

(870) 863-5154

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1932508041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W FAULKNER ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304519",
            "telephone_number": "870-863-5153",
            "fax_number": "870-863-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W FAULKNER ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304519",
            "telephone_number": "870-863-5153",
            "fax_number": "870-863-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "JAMIE",
        "middle_name": "RENEE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1407104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel D Cyphers, DDS
• D'Orsay D. Bryant, III, MD, PA
• Elizabeth Marie Damers-Hollis, LPC
• Daniel D. Schrader, M.D. P.L.L.C.
• Charles D Daniels, M.D.
• James V Davidson, MA CCCA
• Angela L Davis
• Carrie D Davis, LCSW
• Frances Louise Davis, O.D.
• Nicole Davis

• Mental Health Counselor in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.