Active NPI
Gerri Dominguez, LPC
- Professional Counselor
- New Braunfels, TX
National Provider Identifier
1356987069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 79408
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.