Domenique Labeau, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

119874 Issued in CA

Practice address

18 E State St Ste 206
Redlands, CA 92373-4773

Phone

(909) 747-9038

NPI assigned

Sep 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Domenique Ancona Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Domenique Labeau, Licensed Marriage and Family Therapist, Inc.

  • Marriage & Family Therapist
  • Sacramento, CA
  • NPI 1063228013
  NPD Authorized official
• Octave Behavioral Health PC

  • Psychologist
  • San Francisco, CA
  • NPI 1184199549
  NPD (past)
• Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Bernardino, CA
  • NPI 1912418930
  NPD (past)

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1114446044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33562 YUCAIPA BLVD.",
            "address_2": "STE. 4 PMB 503",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "92399",
            "telephone_number": "909-472-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E STATE ST STE 206",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734773",
            "telephone_number": "909-747-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABEAU",
        "first_name": "DOMENIQUE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMENIQUE",
            "last_name": "ANCONA",
            "credential": "MFTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian W Kwong, D.D.S.
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• La Laser Center PC, a Professional Medical Corporation
• La Vita Hospice Inc
• Hashem Lababidi, DO
• Connie Marie Labeaud
• Lactationhub
• Kaia Lacy, CLC
• Lauren Laddaran, D.O.
• Tyler Lawrence Ladue, MD

• Marriage & Family Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.