Active NPI 1871939777 Individual Practitioner Male Practitioner

Christopher E Dougherty , LPCC

Counselor - Professional • Waycross, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Christopher Dougherty, LPCC is a certified Counselor - Professional practicing in Waycross, GA. With approximately 13 years of clinical experience since completing medical education in 2013, Christopher Dougherty delivers high-quality medical care to the local community at 2318 SPURGEON ST.

Christopher Dougherty is affiliated with Brightside Medical Of Michigan Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

2318 Spurgeon St

Waycross, GA 315016927

Telephone 9373713892

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Waycross, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +2.7 yrs vs City Avg

City Avg: 10.3 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

14 Specialists

Practicing in Waycross, GA (6655 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dougherty (13 Years) 13 Yrs

Waycross Specialty Average (10.3 Years) 10.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-05-06

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.1100310

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OH E110310

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License GA LPC012508

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0074946 (OH)

Medicaid State Provider ID

0074861 (OH)

Medicaid State Provider ID

0213234 (OH)

Commercial Insurance / Payer ID Medicaid Legacy Number Chemical Dependecy

0074861 (OH)

Commercial Insurance / Payer ID Medicaid Legacy Number Mental Health

0074946 (OH)

Commercial Insurance / Payer ID Medicare Group Ptan Number

H130910 (OH)

Hospital & Practice Group Affiliations

Brightside Medical Of Michigan Pc

1700 Northside Dr Nw, Atlanta, GA 303182695

Phone: 4153603348

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location May 06, 2025

Registered at 2318 SPURGEON ST, WAYCROSS, GA 315016927 (Tel: 9373713892)

📍

Updated Practice Location December 04, 2023

Registered at 131 OAK MEADOW DR # 102, PATASKALA, OH 430629812 (Tel: 6148356068)

📍

Updated Business Mailing Address December 04, 2023

Registered at 2318 SPURGEON ST, WAYCROSS, GA 315016927 (Tel: 9373713892)

✅

NPI Profile Active September 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2015

Registered at 4464 S DIXIE HWY, MIDDLETOWN, OH 450055464 (Tel: 5136498008)

📍

Updated Business Mailing Address September 05, 2015

Registered at 4464 S DIXIE HWY, MIDDLETOWN, OH 450055464 (Tel: 5136498008)

👤

Provider Name / Credentials Updated September 05, 2015

Recorded as CHRISTOPHER DOUGHERTY, LPCC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2015

Counselor (License #E110310 in OH)

🟢

Initial NPI Registration & Enumeration May 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871939777

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 17, 2013

Last Update: May 06, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2318 Spurgeon St

Waycross, GA 315016927

Phone: 9373713892

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.