Mark Anthony Dominguez, MA PSYCH LMFT135452

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT135452 Issued in CA

Practice address

1522 18TH St Ste 300
Bakersfield, CA 93301-4433

Phone

(661) 865-2352

NPI assigned

Sep 3, 2008

Sex

Male

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 CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  CA, Mental Health

  Medicare reassignment NPD
• Solutions Family Counseling Center Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bakersfield, CA
  • NPI 1912605544
  NPD Authorized official
• James Penny House, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Bakersfield, CA
  • NPI 1700549953
  NPD
• Kern Bridges Youth Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Bakersfield, CA
  • NPI 1922601897
  NPD
• Kern Bridges Youth Homes, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bakersfield, CA
  • NPI 1154143824
  NPD (past)
• Turning Point of Central California Inc.

  • Community/Behavioral Health Agency
  • Bakersfield, CA
  • NPI 1912111311
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1124276191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 BRIDGEPORT LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093404",
            "telephone_number": "661-865-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 18TH ST STE 300",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014433",
            "telephone_number": "661-865-2352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 De Ette Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933132916",
            "country_code": "US",
            "telephone_number": "661-865-2352",
            "fax_number": "661-396-2349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1321 Stine Rd",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933094176",
            "country_code": "US",
            "telephone_number": "661-396-2352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32549 Betty Jean Ave",
            "address_purpose": "LOCATION",
            "city": "Mc Farland",
            "state": "CA",
            "postal_code": "932509534",
            "country_code": "US",
            "telephone_number": "661-865-2352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6505 Bridgeport Ln",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933093404",
            "country_code": "US",
            "telephone_number": "661-380-7737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "credential": "MA PSYCH LMFT135452",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT135452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Dominguez
• Beatriz Dominguez
• Cecelia Dominguez
• Ernest Gonzales Dominguez Jr., CAADACII
• Kennedy Lynn Dominguez
• Nachell N Dominguez
• Tammy Gay Dominguez
• Data Osawuoname Don-Pedro, MD
• Donald C. Loos M.D. Inc
• Donald E. Cornforth, MD, Inc.

• All providers in Bakersfield, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.