Individual provider Active NPI

Dominique Felice Mognett, MED, LPCC

  • Professional Counselor
  • Owensboro, KY
National Provider Identifier
1457741597
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
172273 Issued in KY
Practice address
1100 Walnut St
Owensboro, KY 42301-2956
Phone
(270) 689-5342
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCCCA00216535 KY
Professional Counselor 101YP2500X 162650 KY
Professional Counselor 101YP2500X 172273 KY Primary

Addresses

Primary practice location

1100 Walnut St
Owensboro, KY 42301-2956

Mailing address

661 Chuck Gray CT
Owensboro, KY 42303-7306
Phone (832) 423-1916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308002077 KY Practitioner - Mental Health Counselor 5496191785 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
162650KYMDProfessional Counselor
LPCCCA00216535KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health, Inc CurrentSince Apr 8, 2025 Accepting new patients
Owensboro Health, Inc Professional CurrentSince Apr 8, 2025 Accepting new patients
Rivervalley Behavioral Health Inc CurrentSince Feb 1, 2024 Accepting new patients

Locations

1269 Duvall Rd
Beaver Dam, KY 42320
Phone (270) 274-0650

205 Hwy 2084 S
Henderson, KY 42420
Phone (270) 827-9577

618 N Green St
Henderson, KY 42420
Phone (270) 689-6767

233 N Townsend St
Morganfield, KY 42437
Phone (270) 389-3240

1006 Ford Ave
Owensboro, KY 42301
Phone (270) 417-7500

314 S Ewing Rd
Owensboro, KY 42301
Phone (207) 683-0438

1000 Industrial Dr
Owensboro, KY 42301
Phone (270) 689-6800

1100 Walnut St
Owensboro, KY 42301
Phone (270) 689-6500

Organizations & group practices 3

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1457741597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 CHUCK GRAY CT",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037306",
            "telephone_number": "832-423-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WALNUT ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012956",
            "telephone_number": "270-689-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGNETT",
        "first_name": "DOMINIQUE",
        "middle_name": "FELICE",
        "credential": "MED, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "LPCCCA00216535",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "162650",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "172273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.