Mr Christopher E Dougherty, LPCC in Waycross, GA

Mr Christopher E Dougherty, LPCC is a medicare enrolled "Counselor - Professional" provider in Waycross, Georgia. His current practice location is 2318 Spurgeon St, Waycross, Georgia. You can reach out to his office (for appointments etc.) via phone at (937) 371-3892.

Mr Christopher E Dougherty is licensed to practice in Ohio (license number E.1100310) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871939777.

Contact Information

	Mr Christopher E Dougherty, LPCC
	2318 Spurgeon St, Waycross, GA 31501-6927
	(937) 371-3892
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Christopher E Dougherty
Gender	Male
Speciality	Counselor - Professional
Location	2318 Spurgeon St, Waycross, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871939777
Provider Enumeration Date: 05/17/2013
Last Update Date: 05/06/2025

Medicare PECOS Information:

PECOS PAC ID: 1759814130
Enrollment ID: I20241023003008

Medical Identifiers

Medical identifiers for Mr Christopher E Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871939777	NPI	-	NPPES
0074861	Other	OH	MEDICAID LEGACY NUMBER CHEMICAL DEPENDECY
0074946	Other	OH	MEDICAID LEGACY NUMBER MENTAL HEALTH
0074946	Medicaid	OH
0074861	Medicaid	OH
H130910	Other	OH	MEDICARE GROUP PTAN NUMBER
0213234	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E110310 (Ohio)	Secondary
101YP2500X	Counselor - Professional	LPC012508 (Georgia)	Secondary
101YP2500X	Counselor - Professional	E.1100310 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Christopher E Dougherty allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

Entity Name	Brightside Medical Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230404000719

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. Mr Christopher E Dougherty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Christopher E Dougherty, LPCC 2318 Spurgeon St, Waycross, GA 31501-6927 Ph: (937) 371-3892	Mr Christopher E Dougherty, LPCC 2318 Spurgeon St, Waycross, GA 31501-6927 Ph: (937) 371-3892

Reviews and Comments

Counselor in Waycross, GA

Misty Burchette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-7100
Madison Sports, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1003 Mary St, Waycross, GA 31503 Phone: 912-449-7100
Mrs. Linda Howard Cooper, BA APPLIED BEHAVIORA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1397 Smith Rd, Waycross, GA 31503 Phone: 912-550-1199
Stacie Norman, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Mary St, Waycross, GA 31503 Phone: 912-449-7150 Fax: 912-449-7060
Charles E Pritchett, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-7100
Latoya Lasha Woodard, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1007 Mary Street, Waycross, GA 31503 Phone: 912-449-7111
Judith L Hunt, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1705 Boulevard Sq, Suite A, Waycross, GA 31501 Phone: 912-283-4026 Fax: 912-283-4028

Mr Christopher E Dougherty, LPCC - Medicare Counselor in Waycross, GA