IRENE M DOUGHERTY LPC
NPI 1104000157
Counselor - Professional in Philadelphia, PA

Q: What is Irene Dougherty's NPI number?

The NPI number for Irene Dougherty is 1104000157. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Q: What is Irene Dougherty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Irene Dougherty was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 December 27, 2007PECOS Enrolled

407 FAIRMOUNT AVE, PHILADELPHIA, PA 19123(215) 796-2481(215) 627-6766 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Irene M Dougherty Lpc NPPES

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

IRENE M DOUGHERTY LPC (NPI 1104000157) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC003468) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1104000157

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameIRENE M DOUGHERTYCredential: LPC

Location Address407 FAIRMOUNT AVEPhiladelphia, PA 19123-2807

Mailing Address407 Fairmount AvePhiladelphia, PA 19123-2807 · (215) 796-2481 · Fax (215) 627-6766

Phone(215) 796-2481

Fax(215) 627-6766

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateDecember 27, 2007

✔ NPI 1104000157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PC003468

407 FAIRMOUNT AVE, Philadelphia, PA 19123

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irene M Dougherty Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416429386

PECOS Enrollment IDI20260611004207

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 Irene Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

1,020 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Pennsylvania enrollment
833 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

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 Irene Dougherty's NPI number?

The NPI number for Irene Dougherty is 1104000157. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Where is Irene Dougherty located?

Irene Dougherty practices at 407 Fairmount Ave, Philadelphia, PA 19123. The listed phone number is (215) 796-2481.

What is Irene Dougherty's specialty?

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

Is Irene Dougherty enrolled in Medicare?

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

Which organization bills Medicare for Irene Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irene Dougherty reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Irene Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Irene Dougherty accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Irene 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 Irene Dougherty was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.