Individual provider Active NPI

Gerri Dominguez, LPC

  • Professional Counselor
  • New Braunfels, TX
National Provider Identifier
1356987069
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79408 Issued in TX
Practice address
358 Landa St Ste 300
New Braunfels, TX 78130-5451
Phone
(888) 315-3277
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 79408 TX
Professional Counselor 101YP2500X 79408 TX Primary

Addresses

Primary practice location

358 Landa St Ste 300
New Braunfels, TX 78130-5451

Mailing address

43 Gruene Park Dr
New Braunfels, TX 78130-2459
Phone (432) 661-3563

Other practice location 1

43 Gruene Park Dr
New Braunfels, TX 78130-2459
Phone (432) 661-3563

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL GerriNBC Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inmindout Emotional Wellness Center, LLC Professional Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1356987069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 GRUENE PARK DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302459",
            "telephone_number": "432-661-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 LANDA ST STE 300",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305451",
            "telephone_number": "888-315-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Gruene Park Dr",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781302459",
            "country_code": "US",
            "telephone_number": "432-661-3563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "GERRI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2023-09-14",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79408",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GerriNBC",
            "affiliation": "N",
            "endpointDescription": "GerriNBC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "43 Gruene Park Dr",
            "city": "New Braunfels",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781302459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.