JANE S DOUGHERTY LPC LLC
NPI 1780403576
Counselor - Mental Health in Bradley Beach, NJ
About Jane S Dougherty Lpc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANE S DOUGHERTY LPC LLC (NPI 1780403576) is a healthcare organization registered as a mental health in Bradley Beach, New Jersey and active in the NPI registry since October 2024. The organization lists Jane Dougherty, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jane S Dougherty Lpc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jane S Dougherty Lpc LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jane S Dougherty Lpc LLC's NPI number?
The NPI number for Jane S Dougherty Lpc LLC is 1780403576. It was assigned to this organization in the NPPES registry on October 8, 2024.
Where is Jane S Dougherty Lpc LLC located?
Jane S Dougherty Lpc LLC is located at 13 Main St, Bradley Beach, NJ 07720. The listed phone number is (732) 800-1557.
What is Jane S Dougherty Lpc LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jane S Dougherty Lpc LLC enrolled in Medicare?
Yes. Jane S Dougherty Lpc LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jane S Dougherty Lpc LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Jane S Dougherty Lpc LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jane S Dougherty Lpc LLC was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jane S Dougherty Lpc Llc · NPI 1780403576
Mental Health organization in Bradley Beach, New Jersey. Organization record, active in the CMS NPPES registry since October 8, 2024.
## Identity
- **NPI:** 1780403576 (Entity type: Organization)
- **Enumerated:** October 8, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Jane Dougherty, OWNER/PROVIDER
## Practice location
- **Address:** 13 MAIN ST, Bradley Beach, NJ 07720-1027
- **Phone:** (732) 800-1557
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1780403576) · Data from the CMS NPPES public registry.