Individual provider Active NPI

Ashley Marie Dominguez, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1912471889
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15858 Issued in FL
Practice address
5201 Blue Lagoon Dr # 891
Miami, FL 33126
Phone
(786) 613-0820
NPI assigned
Jan 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 15858 FL
Mental Health Counselor 101YM0800X MH15858 FL Primary

Addresses

Primary practice location

5201 Blue Lagoon Dr # 891
Miami, FL 33126

Mailing address

5201 Blue Lagoon Dr # 891
Miami, FL 33126-2064
Phone (786) 613-0820

Other practice location 1

863 Michael St
Miami Beach, FL 33141-2511
Phone (305) 497-4998

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

LicenseStateTypeSpecialty
MH15858FLMDMental Health Counselor
15858FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Counselor Care 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.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1912471889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 BLUE LAGOON DR # 891",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262064",
            "telephone_number": "786-613-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 BLUE LAGOON DR # 891",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "786-613-0820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "863 Michael St",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331412511",
            "country_code": "US",
            "telephone_number": "305-497-4998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "15858",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 26, 2019; 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.