Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Irene M Dougherty, LPC

Individual provider Professional Counselor · NPI 1104000157

Irene M Dougherty, LPC is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
26
Licensed in
PA
In the registry since
2007
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

407 Fairmount Ave
Philadelphia, PA 19123-2807
Phone: (215) 796-2481
Fax: (215) 627-6766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC003468 (PA)

Record details

NPI number1104000157
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedDecember 27, 2007
Last updated in NPPESDecember 27, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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