Active NPI
Dominique C Leveille, PHD
- Marriage & Family Therapist
- Miami, FL
National Provider Identifier
1902218977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT3714
- Practice address
- 15715 S Dixie Hwy Ste 325
Miami, FL 33157-1883 - Phone
- (305) 922-3436
- NPI assigned
- May 27, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT3714 | FL | Primary |
Addresses
Primary practice location
15715 S Dixie Hwy Ste 325
Miami, FL 33157-1883
Mailing address
15715 S Dixie Hwy Ste 325
Miami, FL 33157-1883
Phone (305) 967-3900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dr.dominie@blisstherapy.me |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT3714 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bliss Therapy Solutions, LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
15715 S Dixie Hwy
Ste 325
Palmetto Bay, FL 33157
Phone (305) 922-3436
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1639714793
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1902218977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15715 S DIXIE HWY STE 325",
"city": "MIAMI",
"state": "FL",
"postal_code": "331571883",
"telephone_number": "305-967-3900",
"fax_number": "305-922-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15715 S DIXIE HWY STE 325",
"city": "MIAMI",
"state": "FL",
"postal_code": "331571883",
"telephone_number": "305-922-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVEILLE",
"first_name": "DOMINIQUE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT3714",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dr.dominie@blisstherapy.me",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "15715 S Dixie Hwy Ste 325",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331571883",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.