Jacqueline Dompereh

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5680 King Centre Dr Ste 600
Alexandria, VA 22315-5755

Phone

(703) 647-3826

Fax

(703) 546-0840

NPI assigned

Apr 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523145600000",
    "number": "1417454364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155755",
            "telephone_number": "703-647-3826",
            "fax_number": "703-546-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155755",
            "telephone_number": "703-647-3826",
            "fax_number": "703-546-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMPEREH",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2018-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Doley
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• Aanchal Domalapally, DPT
• Oscar Dominguez Garcia, DDS
• Terra Dominguez
• James John Donahue Jr., DDS
• Donald F. Reynolds, DDS, PC
• Jennifer Kathleen Donaldson
• Ciara Donegan
• Michael Dong

• Mental Health Counselor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2018; 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.