DR. MARIA MERCEDES DOMINGUEZ (NPI# 1023671849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023671849 |
Entity Type | Individual |
Full Name | DR. MARIA MERCEDES DOMINGUEZ |
Credential | PHD, LMFT |
Practice Address |
124 Ellis St Fort Leonard Wood MO 65473-1148 |
Mailing Address |
233 Illinois Ave Unit 752 Fort Leonard Wood MO 65473-3232 |
Practice Telephone | 8086004458 |
Mailing Telephone | 8086004458 |
Enumeration Date | 2019-04-17 |
Last Update Date | 2019-04-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 106H00000X | Marriage & Family Therapist | 562 | HI | Behavioral Health & Social Service Providers |
Y | 106H00000X | Marriage & Family Therapist | 4101006781 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154954824 | Maria G Dominguez | Behavior Technician | 2610 Ivanhoe Ave, Oxnard, CA 93030-4780 | 2020-02-20 |
1104484229 | Maria De Los Angeles Dominguez | Behavior Technician | 911 Nw 34th Ave, Miami, FL 33125-3947 | 2019-06-04 |
1700362415 | Maria J Dominguez | Licensed Vocational Nurse | 11049 Sunshine Ct, El Paso, TX 79936-1063 | 2018-07-16 |
1295251940 | Maria Melina Dominguez | Counselor | 1138 N. Main Street, Algonquin, IL 60102 | 2017-08-15 |
1639466964 | Maria Pilar Dominguez | Counselor | 3400 North 29th Avenue, Hollywood, FL 33020 | 2011-07-07 |
1174786974 | Maria I Dominguez | Specialist/Technologist | 122 Park Ave, Williston Park, NY 11596-1630 | 2008-07-02 |
1891738449 | Maria G Dominguez | Psychiatry & Neurology | 12050 Vance Jackson Rd, San Antonio, TX 78230-1182 | 2006-06-13 |
1952362345 | Maria S Dominguez | General Practice | Carretera #2 Km 39 Mb Collego, Vega Baja, PR 00960-5727 | 2006-03-28 |
1508324674 | Maria Dominguez | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-03-07 |
1386118396 | Maria F Dominguez | Specialist/Technologist, Other | 5007 Fm 1960 Rd W Apt 434, Houston, TX 77069-4555 | 2019-01-14 |
Street Address |
124 ELLIS ST |
City | FORT LEONARD WOOD |
State | MO |
Zip Code | 65473-1148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
1083133771 | Mary Joan Klemp | Family Medicine | Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 | 2017-09-13 |
1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
1548626948 | Jaimie-lee Musen | Physical Therapist | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 | 2016-01-14 |
1609240852 | Angela Carson | Registered Nurse | 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 | 2015-11-25 |
1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
1740670314 | Terricka Stewart | Specialist/Technologist | 885 West 16th St., Fort Leonard Wood, MO 65473 | 2015-02-03 |
1427467265 | Dianna Morrison | Social Worker | 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 | 2014-08-06 |
Find all providers in zip 65473 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780295162 | David William Belt | Marriage & Family Therapist | 1501 W 42nd St, Kansas City, MO 64111-4147 | 2020-08-11 |
1437799483 | Katarina Louisa Keller | Marriage & Family Therapist | 901 W Main St Ste 201, Blue Springs, MO 64015-3743 | 2020-01-07 |
1316586035 | Dana Lynne Van Ness | Marriage & Family Therapist | 119 Jared St, Waynesville, MO 65583-3452 | 2019-12-27 |
1326686189 | Megan R Garza | Marriage & Family Therapist | 3720 Hampton Ave Ste 201a, Saint Louis, MO 63109-1438 | 2019-12-11 |
1710524277 | Kathie Lynn Hoffmann | Marriage & Family Therapist | 3743 Main St, Kansas City, MO 64111-1912 | 2019-12-03 |
1508410929 | Danielle Lockhart | Marriage & Family Therapist | 1000 E 24th St Unit 2e, Kansas City, MO 64108-2776 | 2019-07-25 |
1962060160 | Jill Hamilton | Marriage & Family Therapist | 1511 Westport Rd Ste A, Kansas City, MO 64111-4301 | 2019-06-03 |
1023579919 | Steven Place | Marriage & Family Therapist | 1244 Us Highway 60 E, Republic, MO 65738-1248 | 2019-03-25 |
1780142901 | Scott C Huff | Marriage & Family Therapist | Uhc 102, Warrensburg, MO 64093 | 2019-03-06 |
1295208577 | Jennifer Kehrle | Marriage & Family Therapist | 119 S 12th St Apt E, Bowling Green, MO 63334-1978 | 2019-01-09 |
Find all providers with the same taxonomy |
City | FORT LEONARD WOOD |
Zip Code | 65473 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.