Dominique Washington, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

4030 Lake Washington Blvd NE Ste 201
Kirkland, WA 98033-7870

Phone

(206) 414-8918

NPI assigned

Sep 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Renton Are Youth and Family Services

  • Community/Behavioral Health Agency
  • Renton, WA
  • NPI 1639589575
  NPD (past)
• Renton Area Youth and Family Services

  • Adolescent and Children Mental Health Clinic/Center
  • Renton, WA
  • NPI 1194942144
  NPD (past)

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1528543261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 LAKE WASHINGTON BLVD NE STE 201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337870",
            "telephone_number": "206-414-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 LAKE WASHINGTON BLVD NE STE 201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337870",
            "telephone_number": "206-414-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "DOMINIQUE",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Pacific Eye Associates Inc.
• Washington Physical Therapy and Rehabilitation LLC
• Washington Sports Medicine Associates Inc
• Washington Sports Medicine Institute, LLC (Washington Institute of Sports Medicine)
• Washington Therapy Group, Inc. (Washington Hand Therapy)
• Mira Waszak, OT
• Suzan Jeanne Watanabe, ARNP
• Kimberly Waterhouse, MS, RDN
• Cassidy Kay Waters
• Rebecca Lynn Waterston, MA, LMHCA, CDPT

• Marriage & Family Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.