MR. MATTHEW COONEY DOUGHERTY
NPI 1477016749
Counselor in Rochester, NY

Active since April 12, 2019PECOS Enrolled
1099 JAY ST STE 200, ROCHESTER, NY 14611(585) 328-0834 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Matthew Cooney Dougherty NPPES

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

MR. MATTHEW COONEY DOUGHERTY (NPI 1477016749) is an individual counselor in Rochester, New York and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477016749
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. MATTHEW COONEY DOUGHERTY
Location Address1099 JAY ST STE 200Rochester, NY 14611-1153
Mailing Address1099 Jay St Ste 200Rochester, NY 14611-1153 · (585) 328-0834
Sole ProprietorNo
Enumeration DateApril 12, 2019
NPI 1477016749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1099 JAY ST STE 200, Rochester, NY 14611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Matthew Cooney Dougherty 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.

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 Matthew Dougherty's NPI number?

The NPI number for Matthew Dougherty is 1477016749. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Matthew Dougherty located?

Matthew Dougherty practices at 1099 Jay St Ste 200, Rochester, NY 14611. The listed phone number is (585) 328-0834.

What is Matthew Dougherty's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Matthew Dougherty enrolled in Medicare?

Yes. Matthew Dougherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Dougherty was last updated on April 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.