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MR. DAVID T. DOUGHER LCSW
NPI 1750431441
Counselor - Mental Health in Salem, OR

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
965 LIBERTY ST SE, SALEM, OR 97302(503) 588-2004(503) 588-2415 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. David T. Dougher Lcsw NPPES

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

MR. DAVID T. DOUGHER LCSW (NPI 1750431441) is an individual mental health provider in Salem, Oregon, licensed in Oregon (1464) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1750431441
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DAVID T. DOUGHERCredential: LCSW
Location Address965 LIBERTY ST SESalem, OR 97302-4138
Mailing Address4144 Nw Widgeon PlCorvallis, OR 97330-3394 · (541) 752-1102 · Fax (503) 588-2415
Phone(503) 588-2004
Fax(503) 588-2415
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1750431441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 1464
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 1464 (OR)
965 LIBERTY ST SE, Salem, OR 97302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. David T. Dougher Lcsw 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 ID7517142730
PECOS Enrollment IDI20110505000815
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 David Dougher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Polk Yamhill & Marion Child Treatment Services Inc
Counselor
965 LIBERTY ST SE
Salem, OR 97302
  • Reassigned Medicare billing, Oregon enrollment
  • 4 clinicians in this Medicare group
NPI 1760685176 (503) 588-2004

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 10

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

ROSAURA ARENAS LOPEZ
Counselor (Professional)
965 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 588-2004
MS. REBECCA ISMART FREY M.S., LMFT, QMHP
Marriage & Family Therapist
965 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 588-2004
TARANUM CHAUDRY
Marriage & Family Therapist
965 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 588-2004
JOAN M WILLIAMSON LPC
Counselor (Professional)
965 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 588-2004
MOLLY M DINSDALE LPC
Counselor (Professional)
965 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 588-2004
POLK YAMHILL & MARION CHILD TREATMENT SERVICES INC
Counselor
965 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 588-2004
XAN K DECAMBRA
Marriage & Family Therapist
965 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 588-2004
GLORIA VIRGINIA HALL MA
Counselor
965 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 588-2004

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 David Dougher's NPI number?

The NPI number for David Dougher is 1750431441. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is David Dougher located?

David Dougher practices at 965 Liberty St SE, Salem, OR 97302. The listed phone number is (503) 588-2004.

What is David Dougher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is David Dougher enrolled in Medicare?

Yes. David Dougher 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.

Which organization bills Medicare for David Dougher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Dougher reassigns Medicare benefits to Polk Yamhill & Marion Child Treatment Services Inc (Salem, OR). 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 David Dougher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Dougher accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list David Dougher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Dougher was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.