KINTSUGI THERAPY SERVICES
NPI 1083198741
Social Worker - Clinical in Cocoa, FL

Active since September 19, 2018
1205 OXFORD WAY, COCOA, FL 32922(612) 279-8677 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2023, Sep 19, 2018 (2 updates tracked since 2018).

About Kintsugi Therapy Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINTSUGI THERAPY SERVICES (NPI 1083198741) is a healthcare organization registered as a clinical in Cocoa, Florida and active in the NPI registry since September 2018. The organization maintains a secondary practice location in Minneapolis and lists Migdalia Dominguez, Founder, as its authorized official.

NPPES Registry Identity

NPI1083198741
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKINTSUGI THERAPY SERVICES
Location Address1205 OXFORD WAYCocoa, FL 32922-6445
Mailing Address1205 Oxford WayCocoa, FL 32922-6445 · (612) 310-0424
Organization SubpartNo
Authorized OfficialMigdalia DominguezFounder · (612) 310-0424
Enumeration DateSeptember 19, 2018
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
NPI 1083198741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1205 OXFORD WAY, Cocoa, FL 32922

Secondary Practice Location 1

Location 1618 29th Ave NMinneapolis, MN 55411-1406 · Phone (612) 279-8677

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1205 OXFORD WAY
COCOA, FL 32922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kintsugi Therapy Services's NPI number?

The NPI number for Kintsugi Therapy Services is 1083198741. It was assigned to this organization in the NPPES registry on September 19, 2018.

Where is Kintsugi Therapy Services located?

Kintsugi Therapy Services is located at 1205 Oxford Way, Cocoa, FL 32922. The listed phone number is (612) 279-8677.

What is Kintsugi Therapy Services's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Kintsugi Therapy Services accept?

Health plans from HealthPartners list Kintsugi Therapy Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kintsugi Therapy Services was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.