Individual provider Active NPI

Dominique C Leveille, PHD

  • Marriage & Family Therapist
  • Miami, FL
National Provider Identifier
1902218977
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3714 Issued in FL
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

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
MT3714FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bliss Therapy Solutions, LLC Marriage & Family Therapist CurrentSince Feb 24, 2022 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.

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.

Verify at the official NPI Registry.