Maegan Dougherty, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010940 Issued in PA

Practice address

117 Vip Dr Ste 310
Wexford, PA 15090-6936

Phone

(724) 934-3905

Fax

(724) 934-3906

NPI assigned

Dec 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maegan Lewis Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cedar Ridge Counseling Centers LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eldersburg, MD
  • NPI 1932103926

  MD

  Medicare reassignment NPD
• Balanced Resilience Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Eldersburg, MD
  • NPI 1669337226
  NPD

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1992277487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 VIP DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906932",
            "telephone_number": "724-934-3905",
            "fax_number": "724-934-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VIP DR STE 310",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906936",
            "telephone_number": "724-934-3905",
            "fax_number": "724-934-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "MAEGAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA",
            "identifier": "PC010940",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAEGAN",
            "last_name": "LEWIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Rikki Leigh Downey
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• All providers in Wexford, PA
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.

Verify at the official NPI Registry.