Jose Dominguez Rodriguez Sr., MH-14987

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH-14987 Issued in FL

Practice address

5816 SW 5TH St
Miami, FL 33144-3904

Phone

(786) 451-4602

NPI assigned

May 25, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1376991968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 SW 5TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443904",
            "telephone_number": "786-451-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 SW 5TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443904",
            "telephone_number": "786-451-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ RODRIGUEZ",
        "first_name": "JOSE",
        "name_suffix": "Sr.",
        "credential": "MH-14987",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "PMH 1274",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH-14987",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH-14987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reinold Dominguez Puerta
• Yeni Dominguez Quintana, RBT
• Olivia Dominguez Rios, APRN
• Ana Dominguez Rivero
• Deny Luis Dominguez Rodriguez
• Mariela Dominguez Rodriguez
• Lizandra Dominguez Roman
• Jorge Carlos Dominguez Ruiz
• Adannys Dominguez Sarria
• Patricia Dominguez Sigler

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.