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

Q: 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.

Q: What is Patrick Dougherty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patrick Dougherty was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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: October 18, 2026.

On this page

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

Phone(541) 682-7522

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Lane County Oregon

3.9 mi

Federally Qualified Health Center (FQHC)

2073 OLYMPIC ST
Springfield, OR 97477

Reassigned Medicare billing, Oregon enrollment
143 clinicians in this Medicare group

NPI 1326138314 (541) 682-3550

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

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.

KARYN ELIZABETH DEFOE LPC

Counselor (Mental Health)