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KATHLEEN SAMANTHA DOHERTY MA
NPI 1144730383
Counselor - Mental Health in Vancouver, WA

Active since October 02, 2017PECOS Enrolled
7507 NE 51ST ST, VANCOUVER, WA 98662(360) 906-1190 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 18, 2025, Sep 10, 2018 (2 updates tracked since 2018).

About Kathleen Samantha Doherty Ma NPPES

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

KATHLEEN SAMANTHA DOHERTY MA (NPI 1144730383) is an individual mental health provider in Vancouver, Washington, licensed in Washington (LH61084519) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144730383
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN SAMANTHA DOHERTYCredential: MA
Location Address7507 NE 51ST STVancouver, WA 98662-6007
Mailing Address7507 Ne 51st StVancouver, WA 98662-6007 · (360) 906-1190
Phone(360) 906-1190
Sole ProprietorNo
Enumeration DateOctober 2, 2017
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1144730383 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 WA · LH61084519
7507 NE 51ST ST, Vancouver, WA 98662
Open in Google Maps ↗

Other Names 1

Former Name (1)Kathleen Gibbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans 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)

Kathleen Samantha Doherty Ma 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 Kathleen Doherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Psychological And Counseling Services LLC
Same address
Clinical
7507 NE 51ST ST
Vancouver, WA 98662
  • Reassigned Medicare billing, Washington enrollment
  • 225 clinicians in this Medicare group
NPI 1629345731 (360) 906-1190

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.

DANIEL R CLUNE LCSW
Social Worker (Clinical)
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 601-6184
SHELLY NICOL
Psychologist (Clinical)
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 906-1190
DR. LAUREN RILEY PSY.D.
Psychologist (Clinical)
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 906-1190
ADAM COLLIER HALL LMHCA
Counselor (Mental Health)
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 906-1190
LINDSAY BROOKE RANDALL PSYD
Psychologist
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (512) 963-8282
MS. MARLA JOY CARMAN LPC, LMHC
Counselor (Mental Health)
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 906-1190
JUDITH E POTTS MA
Counselor (Mental Health)
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 906-1190
MARK W CLARK PSY.D.
Psychologist
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 906-1190

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 Kathleen Doherty's NPI number?

The NPI number for Kathleen Doherty is 1144730383. It was assigned to this individual provider in the NPPES registry on October 2, 2017. The provider is also known as Kathleen Gibbs.

Where is Kathleen Doherty located?

Kathleen Doherty practices at 7507 NE 51st St, Vancouver, WA 98662. The listed phone number is (360) 906-1190.

What is Kathleen Doherty's specialty?

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

Is Kathleen Doherty enrolled in Medicare?

Yes. Kathleen Doherty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Doherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Doherty reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Vancouver, WA). 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 Kathleen Doherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Doherty accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kathleen Doherty 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 Kathleen Doherty was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.