MS. JENNIFER I DOMINGO (NPI# 1104097286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104097286 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER I DOMINGO |
| Credential | MA, MFT |
| Practice Address |
10605 Se 240th St #741 Kent WA 98031-4903 |
| Practice Telephone | 2096792653 |
| Mailing Telephone | 2096792653 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 50961 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306074729 | Jennifer Stierwalt Domingo | Psychiatry & Neurology | Building 2489, Ricker Road, West Bliss Clinic, Fort Bliss, TX 79906 | 2009-06-24 |
| Street Address |
10605 SE 240TH ST #741 |
| City | KENT |
| State | WA |
| Zip Code | 98031-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184901423 | Leena A. Jacob | Dental Hygienist | 10605 Se 240th St, # 345, Kent, WA 98031-4903 | 2011-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043325 | Deanna Lila Fuller | Technician | 21417 122nd Place Se, Kent, WA 98031 | 2019-09-26 |
| 1386092054 | Amninder Ripsy Nagra-kaur | Licensed Practical Nurse | 10016 Se 218th Pl, Kent, WA 98031 | 2016-06-02 |
| 1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
| 1578951281 | Katherine Mitchell | Counselor | 12400 Se 233rd St, Kent, WA 98031 | 2015-01-03 |
| 1376804997 | San Lwai | Internal Medicine | 20040 - 120th Ave S.e., Kent, WA 98031 | 2012-05-30 |
| 1013106822 | Fiorella Andrea Diaz | Interpreter | 20029 104th Place Se, Kent, WA 98031 | 2007-10-17 |
| 1750599361 | Northwest Transport | Non-emergency Medical Transport (VAN) | 22627 85th Pl S, Kent, WA 98031 | 2007-05-18 |
| 1750596953 | Rhonda H. James | Licensed Practical Nurse | 21252 94th Pl. S, Kent, WA 98031 | 2007-05-11 |
| 1124172846 | Jeffrey W Baxter | Counselor | 10024 Se 240th, Suite 116 James Street Building, Kent, WA 98031 | 2007-01-22 |
| 1043398407 | Option 1 Northwest Enteral LLC | Durable Medical Equipment & Medical Supplies | 8633 South 212th Street, Kent, WA 98031 | 2006-11-02 |
| Find all providers in zip 98031 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063948164 | Teasya Kusumo | Marriage & Family Therapist | 232 2nd Avenue S., Suite 201, Kent, WA 98032 | 2017-05-10 |
| 1902331648 | Heather Kunce | Marriage & Family Therapist | 232 Second Ave S, Ste 201, Kent, WA 98032 | 2017-05-01 |
| 1205280401 | Paige Stines | Marriage & Family Therapist | 930 E James St, Kent, WA 98031-4608 | 2016-04-14 |
| 1497132575 | Andrew K Thompson | Marriage & Family Therapist | 19309 68th Ave S, Ste. R-101, Kent, WA 98032-2105 | 2015-04-28 |
| 1184029159 | Jessica Rubinstein | Marriage & Family Therapist | 325 West Gowe Street, Kent, WA 98032 | 2014-11-03 |
| 1285132753 | Johanna M Wilson | Marriage & Family Therapist | 275 Martinel Dr, Kent, OH 44240-4380 | 2018-01-30 |
| 1841700333 | David Jeraiseh | Marriage & Family Therapist | 515 W Harrison St Ste 109, Kent, WA 98032-4403 | 2017-10-10 |
| 1740719772 | Brandon Tyler Soares | Marriage & Family Therapist | 232 2nd Ave S Ste 201, Kent, WA 98032-5862 | 2017-06-04 |
| 1972040707 | Areatha White | Marriage & Family Therapist | 325 W Gowe St, Kent, WA 98032-5892 | 2017-01-31 |
| 1275956955 | Crystal Goodman Robertson | Marriage & Family Therapist | 190 Currie Hall Pkwy, Ste A, Kent, OH 44240-4312 | 2014-01-30 |
| Find all providers in KENT | ||||
Please comment or provide details below to improve the information on MS. JENNIFER I DOMINGO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.