TAMARA MARIE DOUGHERTY CSAC
NPI 1467647677
Counselor - Addiction (Substance Use Disorder) in West Bend, WI
NPI Status: Active since September 11, 2007
Contact Information
400 W RIVER DR
WEST BEND, WI
ZIP 53090
Phone: (262) 338-2717
Fax: (262) 338-9767
- Individual
- Female
- Counselor
- Addiction (Substance Use Disorder)
About TAMARA DOUGHERTY
This page provides the complete NPI Profile along with additional information for Tamara Dougherty, a provider established in West Bend, Wisconsin with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1467647677 assigned on September 2007. The practitioner's primary taxonomy code is 101YA0400X with license number 15350-132 (WI). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1467647677
- Provider Name
- TAMARA MARIE DOUGHERTY CSAC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 400 W RIVER DR WEST BEND, WI 53090
- Location Phone
- (262) 338-2717
- Location Fax
- (262) 338-9767
- Mailing Address
- 400 W RIVER DR WEST BEND, WI 53090
- Mailing Phone
- (262) 338-2717
- Mailing Fax
- (262) 338-9767
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-11-2007
- Last Update Date
- 12-28-2009
- Code Navigator
A Substance Abuse or Addiction Counselor like Tamara Dougherty advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 15350-132
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39179600 | MEDICAID (05) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 6 | 4 | 7 | 6 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 12 | 4 | 14 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 2 + 4 + 1 + 4 + 6 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1467647677 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891701447 | SHERYL KLEIN-WASSINK CSAC , ICS Individual | Counselor (Addiction (Substance Use Disorder)) | 400 W RIVER DR WEST BEND, WI 53090 (262) 338-2717 |
| 1366686206 | JESSICA CHRISTINE GESCHKE CSAC Individual | Counselor (Addiction (Substance Use Disorder)) | 400 W RIVER DR WEST BEND, WI 53090 (262) 338-2717 |
| 1144526260 | TANYA MARIE WALD ATR, LPC Individual | Counselor (Professional) | 400 W RIVER DR WEST BEND, WI 53090 (262) 338-2717 |
| 1689941072 | MRS. AMANDA MARGARET RUE LCSW Individual | Social Worker (Clinical) | 400 W RIVER DR WEST BEND, WI 53090 (262) 338-2717 |
| 1073866059 | ELIZABETH PAASCH LPC Individual | Counselor (Professional) | 400 W RIVER DR WEST BEND, WI 53090 (262) 338-2717 |
| 1275878175 | EVA WENZLER M.A., LPC Individual | Counselor (Professional) | 400 W RIVER DR WEST BEND, WI 53090 (262) 338-2717 |
| 1891956736 | DR. JENNIFER BROOKS LOTHIAN MD Individual | Psychiatry & Neurology (Psychiatry) | 400 W RIVER DR WEST BEND, WI 53090 (262) 338-2717 |
| 1316419435 | MICHAEL DANIEL SCHREINER MS TLPC Individual | Counselor | 400 W RIVER DR WEST BEND, WI 53090 (262) 334-4340 |
| 1043571771 | MR. MICAL GUSTAVE SCHAFFER LCSW Individual | Social Worker (Clinical) | 400 W RIVER DR WEST BEND, WI 53090 (262) 338-2717 |
| 1548805351 | KATHRYN M KEMPF MSW, APSW, LCSW-IT Individual | Social Worker | 400 W RIVER DR WEST BEND, WI 53090 (262) 334-4340 |
| 1740396241 | DEVONA MARSHALL LPC Individual | Counselor (Professional) | 400 W RIVER DR WEST BEND, WI 53090 (262) 334-4340 |
| 1992297568 | LINDA JEANNE MARTENET LPC IT Individual | Counselor (Professional) | 400 W RIVER DR WEST BEND, WI 53090 (262) 334-4340 |
| 1568790954 | KETTLE MORAINE COUNSELING LLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 400 W RIVER DR WEST BEND, WI 53090 (262) 334-4340 |
| 1093046823 | MS. JULIANNE K MORRISON MS LPC Individual | Counselor (Professional) | 400 W RIVER DR WEST BEND, WI 53090 (262) 335-9904 |
| 1346751914 | LAQUITA M JONES MSW LCSW SAC-IT Individual | Social Worker | 400 W RIVER DR WEST BEND, WI 53090 (262) 334-4340 |
| 1740752393 | TIERNEE SCHATZ LPC-IT, SAC-IT Individual | Counselor (Professional) | 400 W RIVER DR WEST BEND, WI 53090 (262) 334-4340 |
| 1154731008 | KRISTIN BREI Individual | Counselor (Professional) | 400 W RIVER DR WEST BEND, WI 53090 (262) 338-2717 |
| 1073096707 | CHLOE SCHULZ LPC Individual | Counselor (Professional) | 400 W RIVER DR WEST BEND, WI 53090 (262) 334-4340 |
| 1194068346 | MRS. REBECCA WHITING M.A., LPC, CSAC Individual | Counselor (Professional) | 400 W RIVER DR WEST BEND, WI 53090 (262) 334-4340 |
| 1750955316 | ALEXANDER GRUBER MARSHALL LPC-IT, SAC-IT Individual | Counselor (Professional) | 400 W RIVER DR WEST BEND, WI 53090 (252) 334-4340 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467647677, enumerated in the NPI registry as an "individual" on September 11, 2007
The provider is located at 400 W River Dr West Bend, Wi 53090 and the phone number is (262) 338-2717
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.