Reid Dominie

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4 Cottage St
Freeport, ME 04032-1102

Phone

(207) 504-2664

NPI assigned

Mar 30, 2021

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: rdominie@manymoonstherapy.org

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.

• Many Moons Psychotherapy Services, Inc.

  • Professional Counselor
  • Freeport, ME
  • NPI 1427319359
  NPD

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1902484223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CAPISIC ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COTTAGE ST",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321102",
            "telephone_number": "207-504-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINIE",
        "first_name": "REID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdominie@manymoonstherapy.org",
            "affiliation": "N",
            "address_1": "4 Cottage St",
            "city": "Freeport",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040321102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dale Erickson
• Kim Decarlo, LCSW
• Kaitlyn-Jade Dingley, CNP
• Daniel James Doherty, PT
• Cassandra J Dolby
• James B Donahue, D.O.
• Terence Donahue, LCSW
• Carrie Pollard Donoghue, MS, OTR/L
• Carol L Driscoll, LMSW-CC
• Paul Dunton

• Mental Health Counselor in Freeport, ME
• Providers in Freeport, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.