Active NPI
Bridget Domeier, LCSW
- Counselor
- Salt Lake City, UT
National Provider Identifier
1508111360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 650 S Komas Dr
Suite 200
Salt Lake City, UT 84108-1215 - Phone
- (801) 585-1943
- NPI assigned
- Jul 18, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
650 S Komas Dr
Suite 200
Salt Lake City, UT 84108-1215
Mailing address
650 S. Komas Drive
Ste 200
Salt Lake City, UT 84108
Phone (801) 585-1943
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1508111360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 S. KOMAS DRIVE",
"address_2": "STE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84108",
"telephone_number": "801-585-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 S KOMAS DR",
"address_2": "SUITE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081215",
"telephone_number": "801-585-1943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMEIER",
"first_name": "BRIDGET",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.