Jacob Andrew Dougherty, MS, NCC - Counselor in North Bend, OR

Jacob Andrew Dougherty, MS, NCC is a Counselor - Mental Health based in North Bend, Oregon. Jacob Andrew Dougherty is licensed to practice in * (Not Available) (license number ) and his current practice location is 1913 Meade St, North Bend, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 260-8004.

NPI number for Jacob Andrew Dougherty is 1457697930 and his current mailing address is 715 Sw Ramsey Ave, Grants Pass, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457697930.

Contact Information

Jacob Andrew Dougherty, MS, NCC
1913 Meade St,
North Bend, OR 97459-3432
(541) 260-8004
(541) 756-4550

Map and Direction


Healthcare Provider's Profile

Full NameJacob Andrew Dougherty
GenderMale
SpecialityCounselor - Mental Health
Location1913 Meade St, North Bend, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457697930
  • Provider Enumeration Date: 01/02/2013
  • Last Update Date: 10/10/2013

Medical Identifiers

Medical identifiers for Jacob Andrew Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457697930NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Andrew Dougherty is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Andrew Dougherty, MS, NCC
715 Sw Ramsey Ave,
Grants Pass, OR 97527-5500

Ph: (541) 956-4943
Jacob Andrew Dougherty, MS, NCC
1913 Meade St,
North Bend, OR 97459-3432

Ph: (541) 260-8004

Reviews and Comments


Counselor in North Bend, OR

William Simon,
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Phone: 541-756-2048    Fax: 541-756-2058
Mrs. Leanne Maylene Hake, CADCII
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Phone: 541-751-0357    Fax: 541-751-9985
Mrs. Roberta Goldie Grenier, CADC II
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Medicare: Not Enrolled in Medicare
Practice Location: 400 Virginia Ave, #201, North Bend, OR 97459
Phone: 541-751-0357    Fax: 541-751-9985
Maggie Klapperich,
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Medicare: Not Enrolled in Medicare
Practice Location: 400 Virginia Ave Ste 100, North Bend, OR 97459
Phone: 541-672-2691    
Jennifer Sue Rodriguez, MSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1913 Meade St, North Bend, OR 97459
Phone: 541-756-4508    
Kelly Andrea Manz,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1592 Monroe St, North Bend, OR 97459
Phone: 541-756-2048    Fax: 541-756-2058

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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