Organization Active NPI

Marissa Rose Dominguez LMFT

  • Marriage & Family Therapist
  • Loveland, CO
National Provider Identifier
1083403455
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MARISSA ROSE DOMINGUEZ LMFT
Practice address
150 E 29TH St Ste 237
Loveland, CO 80538-2765
Phone
(970) 203-4051
NPI assigned
May 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Marissa Dominguez, LMFTNPI 1659417426
Title
Owner
Phone
(970) 203-4051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Drama TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 101200000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X

Addresses

Primary practice location

150 E 29TH St Ste 237
Loveland, CO 80538-2765

Mailing address

4359 Birchwood Dr
Loveland, CO 80538-5618
Phone (970) 203-4051

National Provider Directory

National Provider Directory

Locations

150 E 29th St
Ste 237
Loveland, CO 80538
Phone (970) 203-4051

Practitioners & affiliated clinicians

Practitioners 2

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": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1083403455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 BIRCHWOOD DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385618",
            "telephone_number": "970-203-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 29TH ST STE 237",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382765",
            "telephone_number": "970-203-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA ROSE DOMINGUEZ LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-203-4051",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Drama Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.