Individual provider Active NPI

Alexis Nicole Santo Domingo

  • Behavior Technician
  • Spokane, WA
National Provider Identifier
1447967062
Registry record updated Sep 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
CB61381530 Issued in WA
Practice address
515 W Francis Ave Ste 5
Spokane, WA 99205-6413
Phone
(509) 433-7755
NPI assigned
Nov 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHCA.MC.70046109 WA
Behavior Technician 106S00000X CB61381530 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

515 W Francis Ave Ste 5
Spokane, WA 99205-6413

Mailing address

515 W Francis Ave Ste 5
Spokane, WA 99205-6413
Phone (509) 433-7755

Other practice location 1

16201 E Indiana Ave Ste 3400
Spokane Vly, WA 99216-2830
Phone (509) 900-3669

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

State licenses

LicenseStateTypeSpecialty
MHCA.MC.70046109WAMDMental Health Counselor
CB61381530WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation Inc PastSince Jun 1, 2024 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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758412800000",
    "number": "1447967062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W FRANCIS AVE STE 5",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056413",
            "telephone_number": "509-433-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W FRANCIS AVE STE 5",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056413",
            "telephone_number": "509-433-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16201 E Indiana Ave Ste 3400",
            "address_purpose": "LOCATION",
            "city": "Spokane Vly",
            "state": "WA",
            "postal_code": "992162830",
            "country_code": "US",
            "telephone_number": "509-900-3669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTO DOMINGO",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHCA.MC.70046109",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61381530",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2025; 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.