Laura Domanico, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10395 Issued in MA

Practice address

250 Lincoln St
Allston, MA 02134

Phone

(617) 290-9414

NPI assigned

Sep 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lifestancehealth.lauradomanico@147611.advancedmd-direct.com

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1518367101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LINCOLN ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341318",
            "telephone_number": "617-290-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LINCOLN ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "02134",
            "telephone_number": "617-290-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Hancock St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021694313",
            "country_code": "US",
            "telephone_number": "617-471-8400 x219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMANICO",
        "first_name": "LAURA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jossie Mar Diaz
• Leira F Diaz
• Diligent Home Health Care LLC
• Allyson Dixon
• Doctors Physio Allston,Inc
• Brian Donahue, DPT
• Diane Marie Donovan
• Kelli Donovan, M.A, CCC-SLP
• Franzchesca Dormeus
• Erin K Dowd

• Mental Health Counselor in Allston, MA
• Providers in Allston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.