LAURA DOMANICO (NPI# 1518367101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518367101 |
| Entity Type | Individual |
| Full Name | LAURA DOMANICO |
| Credential | LMHC |
| Practice Address |
250 Lincoln St Allston MA 02134 |
| Mailing Address |
250 Lincoln St Allston MA 02134-1318 |
| Practice Telephone | 6172909414 |
| Mailing Telephone | 6172909414 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
10395 | MA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 Hancock St, Quincy, MA 021694313 | 6174718400 |
| Street Address |
250 LINCOLN ST |
| City | ALLSTON |
| State | MA |
| Zip Code | 02134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619512373 | Katelyn Keleigh Macdonald | Counselor | 250 Lincoln St, Allston, MA 02134-1318 | 2019-11-16 |
| 1881161784 | Rakesh H Khetarpal | Social Worker | 250 Lincoln St, Allston, MA 02134-1318 | 2018-10-29 |
| 1265907042 | Rachel Lorena Alvarenga | Social Worker | 250 Lincoln St, Allston, MA 02134-1318 | 2018-10-09 |
| 1295218337 | Leila Day Berry | Social Worker | 250 Lincoln St, Allston, MA 02134-1318 | 2018-09-14 |
| 1912480799 | Danielle Balcom | Social Worker | 250 Lincoln St, Allston, MA 02134-1318 | 2018-09-08 |
| 1407334857 | Anne Dena Herreid | Social Worker | 250 Lincoln St, Allston, MA 02134-1318 | 2018-07-29 |
| 1497232763 | Marlena C Smith | Social Worker | 250 Lincoln St, Allston, MA 02134-1318 | 2018-07-19 |
| 1205330313 | Christine Furnari | Social Worker | 250 Lincoln St, Allston, MA 02134-1318 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164070165 | Regina Levkovich | Social Worker | Spaulding Nursing and Therapy Center-brighton, 100 North Beacon Street, Brighton, MA 02134 | 2019-09-03 |
| 1851951487 | Bridget Rene Hunt | Specialist/Technologist | 47 N Harvard St, Allson, MA 02134 | 2019-06-17 |
| 1710457577 | Karla Lizbet Rivas | Psychologist | 44 Mansfield St, Allston, MA 02134 | 2018-12-04 |
| 1730698549 | Samantha Krevalin | Counselor | 52 Brainerd Rd, Allston, MA 02134 | 2017-09-25 |
| 1053834788 | Matthew Blythe Gradin | Counselor | 14 Fordham Road, Allston, MA 02134 | 2017-07-25 |
| 1962877498 | Julia Gearing | Skilled Nursing Facility | 36 Quint Ave Apt 16, Allston, MA 02134 | 2015-12-09 |
| 1194153403 | Misato Nishijima | Social Worker | 14 Fordham Rd., Arbour Counseling Services of Allston, Allston, MA 02134 | 2013-10-23 |
| 1760732218 | Chester Fred Bowen IIi | Counselor | 40 N. Beacon St, Allston, MA 02134 | 2012-09-12 |
| 1023329414 | Mab Community Services, Inc | Day Training, Developmentally Disabled Services | 29 Denby Rd, Allston, MA 02134 | 2010-06-30 |
| 1164758348 | Agape Visiting Nurses, Inc | Home Health | 15 North Beacon St Cnr 2a, Alston, MA 02134 | 2009-10-23 |
| Find all providers in zip 02134 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285131698 | Deepa Sai Avula | Counselor | 1135 Comm Ave Apt 6, Allston, MA 02134-3219 | 2018-04-11 |
| 1730698549 | Samantha Krevalin | Counselor | 52 Brainerd Rd, Allston, MA 02134 | 2017-09-25 |
| 1346620762 | Samantha L Durkin | Counselor | 1120 Commonwealth Ave, Apt. 6, Allston, MA 02134-4817 | 2015-06-01 |
| 1699190439 | Elizabeth Bragg | Counselor | 60 Brainerd Rd, #513, Allston, MA 02134-4579 | 2014-03-04 |
| 1972932366 | Gahyun Kim | Counselor | 88 Gardner St, Apt 30, Allston, MA 02134-2246 | 2013-11-06 |
| 1972938082 | Lisa A Buckingham | Counselor | 49 Bayard St, Allston, MA 02134-1403 | 2013-09-09 |
| 1760732218 | Chester Fred Bowen IIi | Counselor | 40 N. Beacon St, Allston, MA 02134 | 2012-09-12 |
| 1013227057 | Nicole Wolff | Counselor | 239 Kelton St, 41, Allston, MA 02134-4442 | 2010-10-08 |
| 1841804986 | Joanna Marie Braga | Counselor | 14 Fordham Rd, Allston, MA 02134-3000 | 2020-09-05 |
| 1720690712 | Dina Hernandez | Counselor | 14 Fordham Rd, Allston, MA 02134-3000 | 2020-08-20 |
| Find all providers in ALLSTON | ||||
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| 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.