Active NPI
Paula Valeria Dominguez
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1841381613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 63747
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 63747 | TX | MD | Mental Health Counselor |
| 13530 | TX | MD | Dentist |
| 568 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Community Benefit Corporation | Past | 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.
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1841709904
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.