MAUREEN ANN DAUGHERTY MA
NPI 1649559378
Marriage & Family Therapist in Coon Rapids, MN

Active since August 11, 2011PECOS Enrolled
3361 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(612) 644-6373 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maureen Ann Daugherty Ma NPPES

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

MAUREEN ANN DAUGHERTY MA (NPI 1649559378) is an individual marriage & family therapist in Coon Rapids, Minnesota and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649559378
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMAUREEN ANN DAUGHERTYCredential: MA
Location Address3361 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2624
Mailing Address3361 Coon Rapids Blvd NwCoon Rapids, MN 55433-2624 · (612) 644-6373
Sole ProprietorNo
Enumeration DateAugust 11, 2011
Last NPPES UpdateAugust 12, 2011
✔ NPI 1649559378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3361 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maureen Ann Daugherty Ma 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.

Medicare Billing Reassignment

Medicare enrollment records show Maureen Daugherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
701 DECATUR AVE N STE 109
Golden Valley, MN 55427
  • Reassigned Medicare billing, Minnesota enrollment
  • 10 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.

Other Providers at the Same Location NPPES 2

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

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
3361 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Marriage & Family Therapist
3361 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

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 Maureen Daugherty's NPI number?

The NPI number for Maureen Daugherty is 1649559378. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Maureen Daugherty located?

Maureen Daugherty practices at 3361 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (612) 644-6373.

What is Maureen Daugherty's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Maureen Daugherty enrolled in Medicare?

Yes. Maureen Daugherty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maureen Daugherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Daugherty reassigns Medicare benefits to Advanced Brain And Body Clinic PLLC (Golden Valley, MN). The 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 Maureen Daugherty'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 Maureen Daugherty was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.