Kristin Dougherty, MHC
Individual provider Active NPI Mental Health Counselor · Scotia, NY
NPI 1972487528 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1972487528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- P136697 (NY)
- Practice address
- 220 N Ballston Ave
Scotia, NY 12302-2533 - Phone
- (518) 374-3514
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P136697 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P136697 | NY | Yes |
Addresses
Primary practice location
220 N Ballston Ave
Scotia, NY 12302-2533
Mailing address
220 N Ballston Ave
Scotia, NY 12302-2533
Phone (518) 374-3514
Other providers in Scotia, NY
- Ann Marie Dawdy
- Lisa Decapria
- Ylonka Walkiria Dejesus
- Suzanne Denney
- Sonja Marie Dickerman
- Dr. Jeffrey M. Backer
- Stephen Dukenski
- Dawn Marie Edgar
- Oona Edmands
- Maryanne Kay Ege
All providers in Scotia, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.