JANE DOUGHERTY LPC
NPI 1053859546
Counselor - Professional in Bradley Beach, NJ

Active since February 06, 2017PECOS EnrolledAccepts Medicare Assignment
13 MAIN ST # 2, BRADLEY BEACH, NJ 07720(732) 546-4852 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2024, Sep 23, 2024, Feb 6, 2017 (3 updates tracked since 2017).

About Jane Dougherty Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANE DOUGHERTY LPC (NPI 1053859546) is an individual professional provider in Bradley Beach, New Jersey, licensed in New Jersey (37PC00040100) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1053859546
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJANE DOUGHERTYCredential: LPC
Location Address13 MAIN ST # 2Bradley Beach, NJ 07720-1027
Mailing Address13 Main St # 2Bradley Beach, NJ 07720-1027 · (732) 546-4852
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 6, 2017
Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1053859546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00040100
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
13 MAIN ST # 2, Bradley Beach, NJ 07720

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jane Dougherty Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507391620
PECOS Enrollment IDI20241127000067
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jane Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
13 MAIN ST
Bradley Beach, NJ 07720
  • Reassigned Medicare billing, New Jersey enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jane Dougherty's NPI number?

The NPI number for Jane Dougherty is 1053859546. It was assigned to this individual provider in the NPPES registry on February 6, 2017.

Where is Jane Dougherty located?

Jane Dougherty practices at 13 Main St # 2, Bradley Beach, NJ 07720. The listed phone number is (732) 546-4852.

What is Jane Dougherty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jane Dougherty enrolled in Medicare?

Yes. Jane Dougherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jane Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Dougherty reassigns Medicare benefits to Jane S Dougherty Lpc LLC (Bradley Beach, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jane Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jane Dougherty was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.