Kimberly Domingo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0022418 Issued in CO

Practice address

2800 Cornerstone Dr Ste 110
Pagosa Springs, CO 81147-4046

Phone

(970) 779-9072

NPI assigned

Sep 22, 2025

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

State licenses

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1124990908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 OAKWOOD CIR",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CORNERSTONE DR STE 110",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811474046",
            "telephone_number": "970-779-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0022418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Dawn Devloo, LMT
• Heather Renee Dewaal, PHARMD
• Vanessa F Dewitt, LCSW
• Dillon Companies LLC
• Shellie Dolan, LPN
• David E Drake, DO
• Peter M Dziad, M.D.
• Gerlinde Ehni, D.D.S.
• Rhonda Entz
• Sandra Ann Eriksen

• Professional Counselor in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.