Active NPI
Domonique Rice, IMFT-S
- Marriage & Family Therapist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- F.1800041-SUPV
- Practice address
- 1491 Polaris Pkwy Ste 216
Columbus, OH 43240-2041 - Phone
- (614) 568-1258
- NPI assigned
- Nov 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | M.1100005 | OH | |
| Marriage & Family Therapist | 106H00000X | 0717001625 | VA | |
| Marriage & Family Therapist | 106H00000X | F.1800041-SUPV | OH | Primary |
Addresses
Primary practice location
1491 Polaris Pkwy Ste 216
Columbus, OH 43240-2041
Mailing address
1491 Polaris Pkwy Ste 216
Columbus, OH 43240-2041
Phone (614) 568-1258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790062321 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Info@TheArtofLoveandIntimacy.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M.1100005 | OH | MD | Marriage & Family Therapist |
| 0717001625 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
| Hope, Love, and Dream, Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Ohio Marriage and Family Therapy, LLC. | Current | Accepting new patients | |
| Hope, Love, and Dream, Inc | Marriage & Family Therapist | Current | Accepting new patients |
Locations
1491 Polaris Pkwy
Columbus, OH 43240
Phone (614) 210-3815
670 Meridian Way
Ste 270
Westerville, OH 43082
Phone (614) 568-1258
Interoperability endpoints
- info@theartofloveandintimacy.com
- domoniquerice@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1073128716
Marriage & Family Therapist
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1043825599
Marriage & Family Therapist
-
dba The Art of Love and Intimacy, LLC.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1891320511
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1790062321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1491 POLARIS PKWY STE 216",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432402041",
"telephone_number": "614-568-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1491 POLARIS PKWY STE 216",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432402041",
"telephone_number": "614-568-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "DOMONIQUE",
"name_prefix": "Dr.",
"credential": "IMFT-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-10",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "M.1100005",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717001625",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F.1800041-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790062321",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Info@TheArtofLoveandIntimacy.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1491 Polaris Pkwy Ste 216",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432402041",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.