KRISTIN DOHERTY LPC
NPI 1295125607
Counselor - Professional in Ridgewood, NJ

Active since January 24, 2015PECOS EnrolledAccepts Medicare Assignment
61 N MAPLE AVE STE 204A, RIDGEWOOD, NJ 07450(201) 952-2128 Get Directions Write a Review

NPPES record last updated: January 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristin Doherty Lpc NPPES

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

KRISTIN DOHERTY LPC (NPI 1295125607) is an individual professional provider in Ridgewood, New Jersey, licensed in New Jersey (37PC00314400) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1295125607
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTIN DOHERTYCredential: LPC
Location Address61 N MAPLE AVE STE 204ARidgewood, NJ 07450-3232
Mailing Address332 Roosevelt AveHasbrouck Heights, NJ 07604-1614 · (201) 952-2128
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 24, 2015
NPI 1295125607 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 NJ · 37PC00314400
61 N MAPLE AVE STE 204A, Ridgewood, NJ 07450

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristin Doherty Lpc 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.

PECOS PAC ID3072039486
PECOS Enrollment IDI20250429002193
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.

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 Kristin Doherty's NPI number?

The NPI number for Kristin Doherty is 1295125607. It was assigned to this individual provider in the NPPES registry on January 24, 2015.

Where is Kristin Doherty located?

Kristin Doherty practices at 61 N Maple Ave Ste 204A, Ridgewood, NJ 07450. The listed phone number is (201) 952-2128.

What is Kristin Doherty's specialty?

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

Is Kristin Doherty enrolled in Medicare?

Yes. Kristin Doherty 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.

When was this NPI record last updated?

The NPPES record for Kristin Doherty was last updated on January 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.