Claire Domeck, M.A./L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

811 Issued in OK

Practice address

1950 N Okmulgee
Okmulgee, OK 74447-6534

Phone

(918) 756-7700

Fax

(918) 756-3347

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Clarivel Soto Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Okmulgee-Okfuskee County Youth Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Okmulgee, OK
  • NPI 1073634168
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1497961262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 N OKMULGEE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476534",
            "telephone_number": "918-756-7700",
            "fax_number": "918-756-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 N OKMULGEE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476534",
            "telephone_number": "918-756-7700",
            "fax_number": "918-756-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMECK",
        "first_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "M.A./L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARIVEL",
            "last_name": "SOTO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marshall Leo Dejear II
• Matthew Devilbiss
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• Amanda Lynne Doane, FNP-C
• Matthew J Dodson
• Dr G Bret Anderson
• Tracy Lynn Duckworth, APRN-CNP
• CHI Dungee
• Wesley Sanger Dunn III, D.C.
• Ear Nose & Throat Center Inc

• Marriage & Family Therapist in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Marriage & Family Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.