Lisa M Domengeaux, M.ED.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

79369 Issued in TX

Practice address

25511 Budde Rd Ste 1002
Spring, TX 77380-2089

Phone

(281) 719-5539

Fax

(281) 715-4742

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  Medicare reassignment

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1730663873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 RUSHWING PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814319",
            "telephone_number": "281-719-5539",
            "fax_number": "281-715-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 BUDDE RD STE 1002",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802089",
            "telephone_number": "281-719-5539",
            "fax_number": "281-715-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENGEAUX",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "79369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria del Carmen Dobrowolski, LMT
• Doc McCrackin, PLLC
• Mary Grace Doctora
• Doctors Urgent Care LLC
• Andrew Charles Doerfler, DDS
• Dominion Groove Inc
• Dominique Home Health Services
• Arlene Celeste Donald Kennedy, COTA
• Donald W Smith MD PA
• Kennedie Donaway

• Counselor in Spring, TX
• Providers in Spring, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.