Individual provider Active NPI

Dominic Townsend

  • Professional Counselor
  • Chula Vista, CA
National Provider Identifier
1710512736
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1196 3Rd Ave
Chula Vista, CA 91911-3131
Phone
(619) 427-4661
Fax
(619) 426-7849
NPI assigned
Mar 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1196 3Rd Ave
Chula Vista, CA 91911-3131

Mailing address

1196 3Rd Ave Ste C
Chula Vista, CA 91911-3131
Phone (619) 427-4661

Other practice location 1

18715 SW Blanton St
Aloha, OR 97078-1234
Phone (503) 591-0486

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1710512736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 3RD AVE STE C",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113131",
            "telephone_number": "619-427-4661",
            "fax_number": "619-426-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1196 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113131",
            "telephone_number": "619-427-4661",
            "fax_number": "619-426-7849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18715 SW Blanton St",
            "address_purpose": "LOCATION",
            "city": "Aloha",
            "state": "OR",
            "postal_code": "970781234",
            "country_code": "US",
            "telephone_number": "503-591-0486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "DOMINIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.