KELLY L DAUGHERTY MHC
NPI 1770759003
Counselor - Mental Health in Medford, MA

NPI Status: Active since May 06, 2008

Contact Information

151 MYSTIC AVE
SUITE SIX
MEDFORD, MA
ZIP 02155
Phone: (781) 396-1199
Fax: (781) 396-1439

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  • Individual
  • Female
  • Counselor
  • Mental Health

About KELLY DAUGHERTY

This page provides the complete NPI Profile along with additional information for Kelly Daugherty, a provider established in Medford, Massachusetts with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1770759003 assigned on May 2008. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1770759003
Provider Name
KELLY L DAUGHERTY MHC
Gender
Female
Entity Type
Individual
Location Address
151 MYSTIC AVE SUITE SIX MEDFORD, MA 02155
Location Phone
(781) 396-1199
Location Fax
(781) 396-1439
Mailing Address
151 MYSTIC AVE SUITE SIX MEDFORD, MA 02155
Mailing Phone
(781) 396-1199
Mailing Fax
(781) 396-1439
Is Sole Proprietor?
Yes
Enumeration Date
05-06-2008
Last Update Date
05-06-2008
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A mental health counselor like Kelly Daugherty provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

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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.
1770759003
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401451800
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 4 + 5 + 1 + 8 + 0 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1770759003 is valid because the calculated check digit 3 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
1609981109MS. JANIS SUSAN MONAT L.I.C.S.W
Individual
Social Worker151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1154436673 ARLENE M LYNCH RN/PC
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1417062944 DOROTHY E CUSHWAY L.C.S.W
Individual
Social Worker151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1982710448 SANDRA L WOLOSENKO L.I.C.S.W
Individual
Social Worker151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1659487155MS. KRYSTYNA KSIAZEK L.M.H.C
Individual
Counselor (Mental Health)151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1417063967 MICHELLE ANNETTE MURRAY L.M.H.C
Individual
Counselor (Mental Health)151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1134234628MR. HOWARD WARREN SHERMAN L.M.H.C
Individual
Counselor (Mental Health)151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1760598205DR. TIMOTHY ANDREW MCKENZIE PH.D
Individual
Psychologist151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1376649996DR. POLIHIMNIA B CABAERO MD
Individual
Psychiatry & Neurology (Psychiatry)151 MYSTIC AVE SUITE # 6 DCS MENTAL HEALTH INC.
MEDFORD, MA 02155
(718) 396-1199
1841397825 DEBORAH MAX REISMAN LICSW
Individual
Social Worker (Clinical)151 MYSTIC AVE SUITE SIX
MEDFORD, MA 02155
(781) 396-1199
1881792471 JEFFREY C ROSENSTEIN LMHC, LADCI
Individual
Counselor (Addiction (Substance Use Disorder))151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1669570057 JOSEPH S D'AMICO LICSW
Individual
Social Worker (Clinical)151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1417055849 JANICE E KELLEY RN
Individual
Registered Nurse (Psychiatric/Mental Health)151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1407947989 ANNETTE S MALLEN LCSW
Individual
Counselor (Mental Health)151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1285714345 JANE HILL LMHC
Individual
Counselor (Mental Health)151 MYSTIC AVE SUITE SIX
MEDFORD, MA 02155
(781) 396-1199
1073649919 SHANNON JANE HENDRICKSON PMHCNS,BC
Individual
Counselor151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1124236518 JULIE M WALSH LMHC
Individual
Counselor (Mental Health)151 MYSTIC AVE SUITE SIX
MEDFORD, MA 02155
(781) 396-1199
1700083649MS. ANN ELIZABETH CARPENTER LICSW
Individual
Social Worker (Clinical)151 MYSTIC AVE
MEDFORD, MA 02155
(781) 396-1199
1881892958MS. ELIZABETH M VARNEY LICSW
Individual
Social Worker (Clinical)151 MYSTIC AVE SUITE SIX
MEDFORD, MA 02155
(781) 396-1199
1669670741 LAURA A PONTANI MA
Individual
Counselor (Mental Health)151 MYSTIC AVE SUITE SIX
MEDFORD, MA 02155
(781) 396-1199

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770759003, enumerated in the NPI registry as an "individual" on May 06, 2008

The provider is located at 151 Mystic Ave Suite Six Medford, Ma 02155 and the phone number is (781) 396-1199

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

This NPI record was last updated on May 06, 2008. 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].
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