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BROOKE MARIE DOUGHERTY MA, MFT
NPI 1093994808
Marriage & Family Therapist in San Francisco, CA

Active since October 29, 2007Opted out of Medicare · through Mar 19, 2027
1728 UNION ST STE 107, SAN FRANCISCO, CA 94123(415) 632-1678 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brooke Marie Dougherty Ma, Mft NPPES

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

BROOKE MARIE DOUGHERTY MA, MFT (NPI 1093994808) is an individual marriage & family therapist in San Francisco, California, licensed in California (50892) and active in the NPI registry since October 2007. She has opted out of Medicare through March 19, 2027.

NPPES Registry Identity

NPI1093994808
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBROOKE MARIE DOUGHERTYCredential: MA, MFT
Location Address1728 UNION ST STE 107San Francisco, CA 94123-4439
Mailing Address1728 Union Street, #107San Francisco, CA 94123-4439 · (415) 632-1678
Phone(415) 632-1678
Sole ProprietorYes
Enumeration DateOctober 29, 2007
Last NPPES UpdateAugust 3, 2018
✔ NPI 1093994808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 50892
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1728 UNION ST STE 107, San Francisco, CA 94123
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brooke Marie Dougherty Ma, Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 19, 2025 through March 19, 2027.

Opt-Out Effective DateMarch 19, 2025
Opt-Out In Effect ThroughMarch 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

LEANNE CARTER
Preferred Provider Organization
1728 UNION ST STE 107
SAN FRANCISCO, CA 94123
San Francisco County (415) 272-0282
STEPHANIE MICHELLE HANGER LMFT
Marriage & Family Therapist
1728 UNION ST STE 107
SAN FRANCISCO, CA 94123
San Francisco County (415) 813-2973

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 Brooke Dougherty's NPI number?

The NPI number for Brooke Dougherty is 1093994808. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Where is Brooke Dougherty located?

Brooke Dougherty practices at 1728 Union St Ste 107, San Francisco, CA 94123. The listed phone number is (415) 632-1678.

What is Brooke Dougherty's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Brooke Dougherty enrolled in Medicare?

No. Brooke Dougherty has opted out of Medicare through March 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brooke Dougherty was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.