Individual provider Active NPI

Paula Valeria Dominguez

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1841381613
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
63747 Issued in TX
Practice address
1100 Merrill St
Houston, TX 77009-6009
Phone
(713) 984-6614
Fax
(713) 864-9004
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13530 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 568 OK
Professional Counselor 101YP2500X 63747 TX
Mental Health Counselor 101YM0800X 63747 TX Primary
Professional Counselor 101YP2500X 3082 OK

Addresses

Primary practice location

1100 Merrill St
Houston, TX 77009-6009

Mailing address

3788 Richmond Ave Apt 1359
Houston, TX 77046-3714
Phone (713) 456-9965

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Paula.Dominguez@memorialhermann.org

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

State licenses

LicenseStateTypeSpecialty
63747TXMDMental Health Counselor
13530TXMDDentist
568OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Community Benefit Corporation PastSince Jan 17, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1841381613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3788 RICHMOND AVE APT 1359",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770463714",
            "telephone_number": "713-456-9965",
            "fax_number": "713-864-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MERRILL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770096009",
            "telephone_number": "713-984-6614",
            "fax_number": "713-864-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "PAULA",
        "middle_name": "VALERIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13530",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "568",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63747",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "63747",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Paula.Dominguez@memorialhermann.org",
            "affiliation": "N",
            "address_1": "1100 Merrill St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770096009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.