Organization Active NPI

Dominguez Dream Corporation

  • Group Psychotherapy Psychologist
  • Missouri City, TX
National Provider Identifier
1063172104
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
DOMINGUEZ DREAM CORPORATION
Practice address
1406 Lexington Blvd
Missouri City, TX 77489-2174
Phone
(346) 241-1416
Fax
(346) 241-1416
NPI assigned
Dec 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Shanna J Lewis Dominguez, MED, LPC, NCC
Title
Owner
Phone
(346) 241-1416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

1406 Lexington Blvd
Missouri City, TX 77489-2174

Mailing address

1406 Lexington Blvd
Missouri City, TX 77489-2174
Phone (346) 241-1416

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1063172104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 LEXINGTON BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892174",
            "telephone_number": "346-241-1416",
            "fax_number": "346-241-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 LEXINGTON BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892174",
            "telephone_number": "346-241-1416",
            "fax_number": "346-241-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINGUEZ DREAM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "LEWIS DOMINGUEZ",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-241-1416",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MED, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.