Luisa Dominguez, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SL06478000 Issued in NJ

Practice address

861 Main St # 1
Hackensack, NJ 07601-4907

Phone

(201) 678-1802

NPI assigned

Jan 26, 2024

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

State licenses

Practice roles

Locations

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.

• Inner Oasis Psychotherapy Services LLC

  • Community/Behavioral Health Agency
  • West New York, NJ
  • NPI 1164248399
  NPD
• Middlesex Psychiatry & TMS PC

  • Psychiatry Physician
  • Fairfield, NJ
  • NPI 1053971572
  NPD
• Tolchin Psychological Services, P.C.

  • Health Service Psychologist
  • Hauppauge, NY
  • NPI 1356162036
  NPD

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1720840697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PASSAIC AVE STE 200",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043521",
            "telephone_number": "800-413-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 MAIN ST # 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014907",
            "telephone_number": "201-678-1802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Route 70 E Ste G101",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532548",
            "country_code": "US",
            "telephone_number": "800-413-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "LUISA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL06478000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Dolan, MD
• Eileen A Dolan, M.D.
• Susan Dolphin, MSN, APN, FNP-C
• Elaine Dombrowski, LCSW
• Alexis Dominguez, MA, LMHC
• Jeremy Abraham Dominik, MD
• Jad A Donato, M.D.
• Michele L Donato, MD
• Colleen Doran
• Kristyn Dorsett, P.T.

• All providers in Hackensack, NJ
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.