JACOB ANDREW DOUGHERTY MS, NCC
NPI 1457697930
Counselor - Mental Health in North Bend, OR

Active since January 02, 2013
1913 MEADE ST, NORTH BEND, OR 97459(541) 260-8004(541) 756-4550 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Andrew Dougherty Ms, Ncc NPPES

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

JACOB ANDREW DOUGHERTY MS, NCC (NPI 1457697930) is an individual mental health provider in North Bend, Oregon and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1457697930
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB ANDREW DOUGHERTYCredential: MS, NCC
Location Address1913 MEADE STNorth Bend, OR 97459-3432
Mailing Address715 Sw Ramsey AveGrants Pass, OR 97527-5500 · (541) 956-4943
Fax(541) 756-4550
Sole ProprietorNo
Enumeration DateJanuary 2, 2013
Last NPPES UpdateOctober 10, 2013
NPI 1457697930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1913 MEADE ST, North Bend, OR 97459

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.

Peer Specialist
1913 MEADE ST
NORTH BEND, OR 97459
Counselor (Mental Health)
1913 MEADE ST
NORTH BEND, OR 97459
Counselor
1913 MEADE ST
NORTH BEND, OR 97459
Counselor (Mental Health)
1913 MEADE ST
NORTH BEND, OR 97459
Peer Specialist
1913 MEADE ST
NORTH BEND, OR 97459
Counselor (Mental Health)
1913 MEADE ST
NORTH BEND, OR 97459
Counselor (Mental Health)
1913 MEADE ST
NORTH BEND, OR 97459
Peer Specialist
1913 MEADE ST
NORTH BEND, OR 97459

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 Jacob Dougherty's NPI number?

The NPI number for Jacob Dougherty is 1457697930. It was assigned to this individual provider in the NPPES registry on January 2, 2013.

Where is Jacob Dougherty located?

Jacob Dougherty practices at 1913 Meade St, North Bend, OR 97459. The listed phone number is (541) 260-8004.

What is Jacob Dougherty'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 Jacob Dougherty was last updated on October 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.