Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. JENNIFER I DOMINGO MA, MFT
NPI 1104097286
Marriage & Family Therapist in Spokane, WA

Active since March 17, 2008PECOS Enrolled
100 N HOWARD ST # 10372, SPOKANE, WA 99201(916) 513-0468 Get Directions Write a Review

NPPES record last updated: September 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2026, Jul 17, 2023 (2 updates tracked since 2023).

About Ms. Jennifer I Domingo Ma, Mft NPPES

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

MS. JENNIFER I DOMINGO MA, MFT (NPI 1104097286) is an individual marriage & family therapist in Spokane, Washington, licensed in California (50961) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104097286
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. JENNIFER I DOMINGOCredential: MA, MFT
Location Address100 N HOWARD ST # 10372Spokane, WA 99201-0508
Mailing Address100 N Howard St # 10372Spokane, WA 99201-0508 · (916) 513-0468
Sole ProprietorYes
Enumeration DateMarch 17, 2008
Last NPPES UpdateSeptember 27, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2026
✔ NPI 1104097286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 50961
Definition
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.
100 N HOWARD ST # 10372, Spokane, WA 99201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer I Domingo Ma, Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Domingo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1209 W TOKAY STREET, SUITE 1, 3, 5, 7, 12, 14, AND 16
Lodi, CA 95240
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Joaquin
  • 195 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jennifer Domingo's NPI number?

The NPI number for Jennifer Domingo is 1104097286. It was assigned to this individual provider in the NPPES registry on March 17, 2008.

Where is Jennifer Domingo located?

Jennifer Domingo practices at 100 N Howard St # 10372, Spokane, WA 99201. The listed phone number is (916) 513-0468.

What is Jennifer Domingo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jennifer Domingo enrolled in Medicare?

Yes. Jennifer Domingo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Domingo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Domingo reassigns Medicare benefits to San Joaquin County Behavioral Health Services (Lodi, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Domingo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Domingo accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon and UnitedHealthcare list Jennifer Domingo 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 Jennifer Domingo was last updated on September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.