Active NPI
Alexis Nicole Santo Domingo
- Behavior Technician
- Spokane, WA
National Provider Identifier
1447967062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB61381530
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MHCA.MC.70046109 | WA | MD | Mental Health Counselor |
| CB61381530 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | 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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
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.