Lowella Jean Domenech

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

132 W Church St
Venedy, IL 62214-1254

Phone

(618) 824-6229

NPI assigned

Jun 12, 2021

Last updated

Jun 12, 2021By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623456000000",
    "number": "1093383507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W CHURCH ST",
            "city": "VENEDY",
            "state": "IL",
            "postal_code": "622141254",
            "telephone_number": "618-824-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W CHURCH ST",
            "city": "VENEDY",
            "state": "IL",
            "postal_code": "622141254",
            "telephone_number": "618-824-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENECH",
        "first_name": "LOWELLA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Raye Borrenpohl, LCSW
• Rachel Elizabeth Denzin, MSW, M.ED, LCSW
• Christina Marie Gall
• Brittany Graham, MSW, LCSW
• Live Well Counseling Services
• Kalli Kristin Penner, LCSW
• Linda A Schuh, LCSW

• Attendant Care Provider in Venedy, IL
• Providers in Venedy, IL by specialty
• Attendant Care Provider in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.