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JEROME DOHERTY CDP
NPI 1699228049
Counselor - Addiction (Substance Use Disorder) in Seattle, WA

Active since August 02, 2016
11000 LAKE CITY WAY NE, SEATTLE, WA 98125(206) 632-5009 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerome Doherty Cdp NPPES

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

JEROME DOHERTY CDP (NPI 1699228049) is an individual addiction (substance use disorder) provider in Seattle, Washington, licensed in Washington (1006) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1699228049
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEROME DOHERTYCredential: CDP
Location Address11000 LAKE CITY WAY NESeattle, WA 98125-6748
Mailing Address11000 Lake City Way NeSeattle, WA 98125-6748 · (206) 632-5009
Phone(206) 632-5009
Sole ProprietorNo
Enumeration DateAugust 2, 2016
✔ NPI 1699228049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 1006
11000 LAKE CITY WAY NE, Seattle, WA 98125
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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.

MARK DANIELS
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (253) 528-3632
THONGSAVEUI DAMNEUN CG 60719927
Counselor (Mental Health)
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 547-5800
LEON MARKEY
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 901-2000
ZOE N KENDALL
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 461-3614
SARA MARCKX RUSSELL
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 901-2000
EMILY GAROFALO
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 901-2000
BIRIDIANA GUADALUPE GARCIA
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 545-2329
AMANDA M ROSS
Social Worker (Clinical)
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 461-3614

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 Jerome Doherty's NPI number?

The NPI number for Jerome Doherty is 1699228049. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Jerome Doherty located?

Jerome Doherty practices at 11000 Lake City Way NE, Seattle, WA 98125. The listed phone number is (206) 632-5009.

What is Jerome Doherty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jerome Doherty was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.