Active NPI
Dominic Townsend
- Professional Counselor
- Chula Vista, CA
National Provider Identifier
1710512736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.