HENRIETTA CASILLAS DOMINGUEZ (NPI# 1447794839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447794839 |
| Entity Type | Individual |
| Full Name | HENRIETTA CASILLAS DOMINGUEZ |
| Credential | MA, LPC |
| Practice Address |
13300 Old Blanco Rd Ste 145 San Antonio TX 78216-7738 |
| Practice Telephone | 2107023066 |
| Mailing Telephone | 2107023066 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
67659 | TX | Behavioral Health & Social Service Providers |
| Street Address |
13300 OLD BLANCO RD STE 145 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-7738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541770 | Jennifer Rae Rush | Counselor | 13300 Old Blanco Rd Ste 145, San Antonio, TX 78216-7738 | 2020-03-02 |
| 1942776844 | Linda Brown | Counselor | 13300 Old Blanco Rd Ste 145, San Antonio, TX 78216-7738 | 2018-10-17 |
| 1417469156 | Steven Brent Longoria | Counselor | 13300 Old Blanco Rd Ste 145, San Antonio, TX 78216-7738 | 2017-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738311 | Jade Hodges | Counselor | 1402 Brook Run, San Antonio, TX 78232-5133 | 2020-10-20 |
| 1821696063 | Brent Crowson | Counselor | 23602 Enchanted Path, San Antonio, TX 78260-4323 | 2020-10-10 |
| 1730787961 | Alexander W Casserly | Counselor | 3442 Wellsprings Dr, San Antonio, TX 78230-2512 | 2020-10-09 |
| 1578170270 | Magno Solutions LLC | Counselor | 10422 Castello Cyn, San Antonio, TX 78254-4644 | 2020-09-26 |
| 1073120184 | Stacie Dziuk | Counselor | 12139 Bowie Ml, San Antonio, TX 78253-5879 | 2020-09-23 |
| 1508471293 | Sandra Jean Bar-yadin | Counselor | 12000 Network Blvd Ste 300, San Antonio, TX 78249-3344 | 2020-09-10 |
| 1316551039 | Mateo David Ayala, Texas Counseling | Counselor | 9818 Village Briar, San Antonio, TX 78250-5718 | 2020-09-01 |
| 1841801412 | Ijeoma Chinwe Too-chiobi | Counselor | 11467 Huebner Rd, San Antonio, TX 78230-1595 | 2020-08-16 |
| 1851901516 | Kenny Garza | Counselor | 5000 Walzem Rd, San Antonio, TX 78218 | 2020-08-06 |
| 1851900468 | Vanessa Montemayor Perez | Counselor | 330 Pennystone Ave, San Antonio, TX 78223-1825 | 2020-07-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on HENRIETTA CASILLAS DOMINGUEZ.
| 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.