MS. PATRICIA C DOHERTY – Professional Counselor, NPI 1639701683

MS. PATRICIA C DOHERTY is a healthcare provider. based in New haven, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 6401018148 (MI). The NPI Number for MS. PATRICIA C DOHERTY is 1639701683

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. PATRICIA C DOHERTY
NPI
1639701683
Phone
(810) 434-4824
Address
57626 RIVER OAKS DR
Enumeration Date
7 February 2020
Last Update Date
7 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5869962273
Graduation Year
2019 (7 years ago)
PAC ID
4587191499
Group Practice PAC ID
6507143161
Professional Enrollment ID
I20241217000889
Address ID
MI480472003CH34474RDXX400

Contacts

Main Contact
paddy@gracecounselingresources.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for MS. PATRICIA C DOHERTY

  • 57626 RIVER OAKS DR

    NEW HAVEN, MI 480483302

    Phone: (810) 434-4824

    Type: Mailing

  • 34474 23 MILE RD

    CHESTERFIELD, MI 480472003

    Phone: (586) 996-2273

    Type: Location

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: 2024-12-17

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
I20241217000889IMental Health CounselorMITBD

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 48048)

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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: 6507143161View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the registry number for MS. PATRICIA C DOHERTY?
The registry entry for MS. PATRICIA C DOHERTY shows NPI 1639701683.
Should I treat MS. PATRICIA C DOHERTY as an active provider?
Patients and plans typically see MS. PATRICIA C DOHERTY as active in the national extract.
How should patients interpret MS. PATRICIA C DOHERTY's specialty?
The extract shows Professional Counselor for MS. PATRICIA C DOHERTY. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. PATRICIA C DOHERTY?
MS. PATRICIA C DOHERTY shows a connection to New Haven, Michigan in registry-derived data.
Can I export MS. PATRICIA C DOHERTY's record?
You can download the official NPPES record; we summarize key fields for readability.

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