TAMARA M DOUGHERTY LCPC
NPI 1164790663
Counselor - Professional in Salisbury, MD
About Tamara M Dougherty Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMARA M DOUGHERTY LCPC (NPI 1164790663) is an individual professional provider in Salisbury, Maryland and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tamara M Dougherty Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Tamara Dougherty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salisbury, MD 21804
- Reassigned Medicare billing, Maryland enrollment
- 15 clinicians in this Medicare group
Salisbury, MD 21801
- Reassigned Medicare billing, Maryland enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
SALISBURY, MD 21804
SALISBURY, MD 21804
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 Tamara Dougherty's NPI number?
The NPI number for Tamara Dougherty is 1164790663. It was assigned to this individual provider in the NPPES registry on December 12, 2011.
Where is Tamara Dougherty located?
Tamara Dougherty practices at 505 E Main St, Salisbury, MD 21804. The listed phone number is (410) 341-3420.
What is Tamara Dougherty's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tamara Dougherty enrolled in Medicare?
Yes. Tamara Dougherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tamara Dougherty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Dougherty reassigns Medicare benefits to 2 organizations: Healthport (Salisbury, MD) and Balanced Life Counseling Services, LLC (Salisbury, MD). Each 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 Tamara Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tamara Dougherty was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Tamara M Dougherty, LCPC · NPI 1164790663
Professional provider in Salisbury, Maryland. Individual provider, active in the CMS NPPES registry since December 12, 2011.
## Identity
- **NPI:** 1164790663 (Entity type: Individual)
- **Enumerated:** December 12, 2011
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 505 E MAIN ST, Salisbury, MD 21804-5020
- **Phone:** (410) 341-3420 · **Fax:** (410) 341-3397
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Healthport (NPI 1154320646, Salisbury, MD); Balanced Life Counseling Services, LLC (NPI 1770084535, Salisbury, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164790663) · Data from the CMS NPPES public registry.