Individual provider Active NPI

Nancy Dominguez, EDD, MED, LPC

  • Professional Counselor
  • Hewitt, TX
National Provider Identifier
1871223420
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
700 Sapphire Blvd
Hewitt, TX 76643-2999
Phone
(254) 230-8402
NPI assigned
Jun 15, 2022
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

700 Sapphire Blvd
Hewitt, TX 76643-2999

Mailing address

700 Sapphire Blvd
Hewitt, TX 76643-2999
Phone (254) 230-8402

Other practice location 1

14038 China Spring Rd # 13
China Spring, TX 76633-3450
Phone (512) 334-6449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240109004248 TX Practitioner - Mental Health Counselor 5799136214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
77851TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Connection to Recovery, LLC CurrentSince Jan 2, 2024 Accepting new patients

Locations

14038 China Spring Rd
#13
China Spring, TX 76633
Phone (512) 334-6449

14038 China Spring Rd
Ste 13
China Spring, TX 76633

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1871223420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SAPPHIRE BLVD",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766432999",
            "telephone_number": "254-230-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SAPPHIRE BLVD",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766432999",
            "telephone_number": "254-230-8402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14038 China Spring Rd # 13",
            "address_purpose": "LOCATION",
            "city": "China Spring",
            "state": "TX",
            "postal_code": "766333450",
            "country_code": "US",
            "telephone_number": "512-334-6449",
            "fax_number": "512-212-7470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "EDD, MED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewitt, TX

Sources for this page

Verify at the official NPI Registry.