SHANNON RAE DOCHERTY
NPI 1194005181
Counselor - Mental Health in Los Angeles, CA

Active since August 22, 2011
444 N LARCHMONT BLVD STE 109, LOS ANGELES, CA 90004(716) 868-5732 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Rae Docherty NPPES

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

SHANNON RAE DOCHERTY (NPI 1194005181) is an individual mental health provider in Los Angeles, California, licensed in California (81272) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1194005181
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON RAE DOCHERTY
Location Address444 N LARCHMONT BLVD STE 109Los Angeles, CA 90004
Mailing Address438 1/2 S Detroit StLos Angeles, CA 90036-3533 · (716) 868-5732
Sole ProprietorYes
Enumeration DateAugust 22, 2011
Last NPPES UpdateAugust 20, 2018
NPI 1194005181 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 CA · 81272
444 N LARCHMONT BLVD STE 109, Los Angeles, CA 90004

Other Providers at the Same Location NPPES 5

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

Marriage & Family Therapist
444 N LARCHMONT BLVD STE 109
LOS ANGELES, CA 90004
Social Worker (Clinical)
444 N LARCHMONT BLVD STE 109
LOS ANGELES, CA 90004
Marriage & Family Therapist
444 N LARCHMONT BLVD STE 109
LOS ANGELES, CA 90004
Counselor (Mental Health)
444 N LARCHMONT BLVD STE 109
LOS ANGELES, CA 90004
Marriage & Family Therapist
444 N LARCHMONT BLVD STE 109
LOS ANGELES, CA 90004

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 Shannon Docherty's NPI number?

The NPI number for Shannon Docherty is 1194005181. It was assigned to this individual provider in the NPPES registry on August 22, 2011.

Where is Shannon Docherty located?

Shannon Docherty practices at 444 N Larchmont Blvd Ste 109, Los Angeles, CA 90004. The listed phone number is (716) 868-5732.

What is Shannon Docherty's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Docherty was last updated on August 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.