Active NPI
Susan Domingue, MS, LPC
- Professional Counselor
- Lafayette, LA
National Provider Identifier
1225400161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9033
- Practice address
- 116 Bertrand Dr Ste 100
Lafayette, LA 70506-5632 - Phone
- (337) 261-8781
- NPI assigned
- Oct 29, 2015
- Last updated
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | 9033 | LA | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
116 Bertrand Dr Ste 100
Lafayette, LA 70506-5632
Mailing address
9802 Cotton Loop
Abbeville, LA 70510-2110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9033 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Management Services of St. Landry, LLC | Mental Health | Past | Accepting new patients |
| Resource Management Services, Inc. of Southwest Louisiana | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Resource Management Services of St. Landry
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lafayette, LA
- NPI 1235232786
-
dba Resource Management Services, Inc. of SWLA
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lake Charles, LA
- NPI 1841300225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1225400161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9802 COTTON LOOP",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705102110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 BERTRAND DR STE 100",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705065632",
"telephone_number": "337-261-8781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUE",
"first_name": "SUSAN",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-29",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "9033",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.