Individual provider Active NPI

Thomasin Domenech, MS, ALC

  • Mental Health Counselor
  • Huntsville, AL
National Provider Identifier
1396353553
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ALC03911 Issued in AL
Practice address
810 Shoney Dr SW Ste 115
Huntsville, AL 35801-5450
Phone
(256) 527-9387
NPI assigned
Jul 14, 2020
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ALC03911 AL Primary

Addresses

Primary practice location

810 Shoney Dr SW Ste 115
Huntsville, AL 35801-5450

Mailing address

190 Lime Quarry Rd Ste 111
Madison, AL 35758-8975
Phone (256) 278-2802

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

LicenseStateTypeSpecialty
ALC03911ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Behavioral Health CurrentSince Aug 18, 2024 Accepting new patients

Locations

190 Lime Quarry Rd
Ste 111
Madison, AL 35758
Phone (256) 278-2802

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1396353553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 LIME QUARRY RD STE 111",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588975",
            "telephone_number": "256-278-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SHONEY DR SW STE 115",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015450",
            "telephone_number": "256-527-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENECH",
        "first_name": "THOMASIN",
        "credential": "MS, ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC03911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.