Dominique Ray Moreno, LIMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10926 Issued in NE

Practice address

256 N 115TH St Ste 3
Omaha, NE 68154-2558

Phone

(402) 660-9555

Fax

(402) 914-4815

NPI assigned

Jul 27, 2016

Sex

Female

Sole proprietor

Yes

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 NE

Eligible to order & refer

• Part B services: Yes
• 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

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.

• Moreno Therapy

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1851916373
  Medicare reassignment NPD Authorized official
• Moreno Therapy P.C., LLC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1609498609
  NPD Authorized official
• Stephen Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Omaha, NE
  • NPI 1205135001
  NPD (past)

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1790238665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 N 115TH ST STE 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542558",
            "telephone_number": "402-660-9555",
            "fax_number": "402-914-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 N 115TH ST STE 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542558",
            "telephone_number": "402-660-9555",
            "fax_number": "402-914-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "DOMINIQUE",
        "middle_name": "RAY",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anaya Aaliyah Moreno I
• Anita Maria Moreno I
• Ashanty Moreno
• Aurora Luz Moreno, LCSW, LMHP
• Deiony Moreno
• Ivan Moreno
• Lucila Moreno
• Marianela Moreno
• Perla Moreno
• Vanessa Moreno

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.