Dominique Michelle Battle, M.S., NCC, CFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R12124 Issued in OR

Practice address

11740 SW 68TH Pkwy Ste 200
Tigard, OR 97223-9058

Phone

(541) 252-7595

Fax

(321) 348-5786

NPI assigned

Sep 12, 2014

Last updated

Dec 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Psych Services LLC

  dba Integrated Psych Solutions

  • Psychologist
  • Ellicott City, MD
  • NPI 1871188771

  FL, Mental Health

  Medicare reassignment NPD
• Creativecounseling Living & Wellness, LLC

  dba GuidedSteps Counseling and Consulting, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winter Park, FL
  • NPI 1306401906
  NPD Authorized official

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1083015713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W MINNEOLA AVE UNIT 120946",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347127039",
            "telephone_number": "407-951-4207",
            "fax_number": "321-348-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 SW 68TH PKWY STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972239058",
            "telephone_number": "541-252-7595",
            "fax_number": "321-348-5786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S Swoope Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327515786",
            "country_code": "US",
            "telephone_number": "407-622-0444 x513",
            "fax_number": "407-699-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 Metro West Blvd.",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32835",
            "country_code": "US",
            "telephone_number": "407-317-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5971 Brick Ct Ste 2181",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327929307",
            "country_code": "US",
            "telephone_number": "407-906-8289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "34744",
            "country_code": "US",
            "telephone_number": "407-846-5285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1964 Howell Branch Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327921042",
            "country_code": "US",
            "telephone_number": "407-951-4207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATTLE",
        "first_name": "DOMINIQUE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "M.S., NCC, CFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R12124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Lawrence Barry, DMD
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• Murtaza Batla, M.D., CAQSM
• Bauer Massage
• Heather Leeann Bauer, L.M.T.
• Alex Bautista
• Alvin Bautista, D.C., M.S.
• Whitney Green Bautista, L.AC.

• Mental Health Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.