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Jessica Domingo

Counselor, Mental Health in Pleasanton, CA. Individual provider (NPI-1).

NPI number1669607677
StatusActive
Last updated in NPPESMay 19, 2009

Details

NPI
1669607677
Entity type
Individual (NPI-1)
Name
Jessica Domingo
Sex
Female
Sole proprietor
No
Enumeration date
May 19, 2009
Last updated
May 19, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

5674 Stoneridge Dr
Suite 108
Pleasanton, CA 94588-8500

Phone 925-520-0066

Mailing address

5674 Stoneridge Dr
Pleasanton, CA 94588-8500

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Counselor providers in Pleasanton, CA

All 45 Mental Health Counselor providers in Pleasanton · All 2,763 providers in Pleasanton

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