JACQUELINE DOUGHERTY (NPI# 1992266928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992266928 |
| Entity Type | Individual |
| Full Name | JACQUELINE DOUGHERTY |
| Practice Address |
4475 Us Highway 1 S Ste 608 Saint Augustine FL 32086-7282 |
| Practice Telephone | 9044477525 |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2019-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH16753 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4475 US HIGHWAY 1 S STE 608 |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32086-7282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063974806 | Brooke Counseling Services | Clinic/Center | 4475 Us Highway 1 S Ste 608, Saint Augustine, FL 32086-7282 | 2019-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861990723 | Douglass Adrien Lobo | Counselor | 4924 Medoras Ave, Saint Augustine, FL 32080-7170 | 2018-01-25 |
| 1124487947 | Stephanie Strole | Counselor | 340 Paseo Reyes Dr, Saint Augustine, FL 32095-8464 | 2016-02-22 |
| 1215340609 | Shannon Cline | Counselor | 1420 Tintern Ln, Saint Augustine, FL 32092-1025 | 2014-06-04 |
| 1427322924 | Lauren Elizabeth Wood | Counselor | 495 Prosperity Lake Dr Ste 101, Saint Augustine, FL 32092-5045 | 2012-03-01 |
| 1366749574 | Kellian L Klipstine | Counselor | 344 Paseo Reyes Drive, Saint Augustine, FL 32095-8464 | 2011-02-24 |
| 1023346590 | Russell Robert Dean | Counselor | 405 Mackenzie Cir, Saint Augustine, FL 32092-3434 | 2009-11-22 |
| 1023246030 | Lisa Britt | Counselor | 157 Hampton Point Dr Ste 1, Saint Augustine, FL 32092-3054 | 2009-06-29 |
| 1639233026 | Carolyn Moldovanyi | Counselor | 52 Tuscan Way Ste 202, Saint Augustine, FL 32092 | 2006-12-20 |
| 1104916428 | Stephen William Henneka | Counselor | 1100 S Ponce De Leon Blvd Ste 1, Saint Augustine, FL 32084-6013 | 2006-10-15 |
| 1720618432 | Myralynn H Vaughn | Counselor | 248 Southpark Cir E, Saint Augustine, FL 32086-5137 | 2020-01-22 |
| Find all providers in SAINT AUGUSTINE | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on JACQUELINE DOUGHERTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.