National Provider Identifier
Jenna Marie Doherty, LMHC-D
Jenna Marie Doherty, LMHC-D is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Webster, NY and a listed phone number of (585) 643-8080.
Profile Overview
- NPI
- 1417662313
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- January 16, 2023
- Last Updated
- March 01, 2025
Practice Location
- 547 West RD
- Webster, NY 14580-1130
Phone: (585) 643-8080
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1417662313
- Entity Type
- Individual
- Last Name
- Doherty
- First Name
- Jenna
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- LMHC-D
- Provider Other Last Name
- Campisi
- Provider Other First Name
- Jenna
- Provider Other Middle Name
- M
- Provider Other Credential Text
- MHC-P
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 547 West RD
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-1130
- Mailing Country
- US
- Mailing Phone
- (585) 643-8080
- Practice Street Address
- 547 West RD
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-1130
- Practice Country
- US
- Practice Phone
- (585) 643-8080
- Enumeration Date
- January 16, 2023
- Last Updated
- March 01, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 01, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 18-P107652-01 (NY, License Number)