PATRICK OWEN DOUGHERTY AAC
NPI 1083964852
Counselor - Mental Health in Eugene, OR

Active since September 19, 2012PECOS Enrolled
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401(541) 682-7522(541) 682-3276 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patrick Owen Dougherty Aac NPPES

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

PATRICK OWEN DOUGHERTY AAC (NPI 1083964852) is an individual mental health provider in Eugene, Oregon, licensed in Oregon (C4550) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1083964852
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePATRICK OWEN DOUGHERTYCredential: AAC
Location Address2411 MARTIN LUTHER KING JR BLVDEugene, OR 97401-5824
Mailing Address2073 Olympic StSpringfield, OR 97477-3413 · (541) 682-3550 · Fax (541) 682-3551
Fax(541) 682-3276
Sole ProprietorNo
Enumeration DateSeptember 19, 2012
Last NPPES UpdateMarch 13, 2019
NPI 1083964852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · C4550
2411 MARTIN LUTHER KING JR BLVD, Eugene, OR 97401

Secondary Practice Location 1

Location 11600 East Olive Street, Sound Mental HealthSeattle, WA 98122 · Phone (206) 302-2200 · Fax (206) 302-2210

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Patrick Owen Dougherty Aac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Counselor (Professional)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Counselor (Professional)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Counselor (Mental Health)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Social Worker (Clinical)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Social Worker
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Counselor (Mental Health)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Counselor (Professional)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401

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 Patrick Dougherty's NPI number?

The NPI number for Patrick Dougherty is 1083964852. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is Patrick Dougherty located?

Patrick Dougherty practices at 2411 Martin Luther King Jr Blvd, Eugene, OR 97401. The listed phone number is (541) 682-7522.

What is Patrick Dougherty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Patrick Dougherty enrolled in Medicare?

Yes. Patrick Dougherty is registered in the Medicare PECOS enrollment system.

What insurance does Patrick Dougherty accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Patrick Dougherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patrick Dougherty was last updated on March 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.