Macie Dominique

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2323 S Troy St Ste 6-200
Aurora, CO 80014-1984

Phone

(720) 263-6244

NPI assigned

Dec 14, 2021

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

Medicare fee-for-service enrollment

Enrolled in CO

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

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.

• Jars of Clay, LLC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1013563154
  Medicare reassignment NPD
• Denver Affordable Counseling PLLC

  • Mental Health Counselor
  • Lakewood, CO
  • NPI 1982218939

  Professional

  NPD (past)

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1124787411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12712 E CASPIAN PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141975",
            "telephone_number": "720-263-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S TROY ST STE 6-200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141984",
            "telephone_number": "720-263-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINIQUE",
        "first_name": "MACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajuanae Dominguez
• Jessica Dominguez
• Johnny G Dominguez Jr.
• Samuel Dominguez, MD
• Vanessa Victoria Dominguez
• Sirisha Dommaraju, DMD
• Kendra Domotor, DMD MBE
• Kaila Donadio
• Julie M Donahue, N.P.
• Mackenzie Donahue

• Professional Counselor in Aurora, CO
• Providers in Aurora, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.