ANNA DOHERTY (LCPC) – Professional Counselor, NPI 1922646652

ANNA DOHERTY (LCPC) is a healthcare provider. based in Morris, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180.006.007 (IL). The NPI Number for ANNA DOHERTY (LCPC) is 1922646652

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
ANNA DOHERTY (LCPC)
NPI
1922646652
Phone
(815) 941-3882
Address
CROSSROADS COUNSELING SERVICES
Enumeration Date
12 December 2019
Last Update Date
17 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159413882
Graduation Year
1994 (32 years ago)
PAC ID
1052753118
Group Practice PAC ID
9234280710
Professional Enrollment ID
I20240521004363
Address ID
IL605600000YO608XXPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for ANNA DOHERTY (LCPC)

  • CROSSROADS COUNSELING SERVICES

    1802 N DIVISION ST SUITE 509

    MORRIS, IL 60450

    Phone: (815) 941-3882

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240521004363IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60450)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234280710View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

How do I look up ANNA DOHERTY (LCPC) by NPI?
Use NPI 1922646652 when you need to reference ANNA DOHERTY (LCPC) in forms, claims, or directories.
Is ANNA DOHERTY (LCPC)'s NPI currently valid?
The extract we use shows ANNA DOHERTY (LCPC) as active.
What field does ANNA DOHERTY (LCPC) work in?
You can think of ANNA DOHERTY (LCPC) as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is ANNA DOHERTY (LCPC)'s primary listing?
We display Morris, Illinois because that is what the record indicates for ANNA DOHERTY (LCPC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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