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MARK ANTHONY DOMINGUEZ MA PSYCH LMFT135452
NPI 1124276191
Marriage & Family Therapist in Bakersfield, CA

Active since September 03, 2008PECOS Enrolled
1522 18TH ST STE 300, BAKERSFIELD, CA 93301(661) 865-2352 Get Directions Write a Review

NPPES record last updated: June 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2024, Oct 6, 2023, Jan 30, 2023 and 3 more (6 updates tracked since 2020).

About Mark Anthony Dominguez Ma Psych Lmft135452 NPPES

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

MARK ANTHONY DOMINGUEZ MA PSYCH LMFT135452 (NPI 1124276191) is an individual marriage & family therapist in Bakersfield, California, licensed in California (LMFT135452) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1124276191
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMARK ANTHONY DOMINGUEZCredential: MA PSYCH LMFT135452
Location Address1522 18TH ST STE 300Bakersfield, CA 93301-4433
Mailing Address6505 Bridgeport LnBakersfield, CA 93309-3404 · (661) 865-2352
Phone(661) 865-2352
Sole ProprietorYes
Enumeration DateSeptember 3, 2008
Last NPPES UpdateJune 9, 20246 updates tracked since enumeration
NPPES CertifiedJune 9, 2024
✔ NPI 1124276191 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 · LMFT135452
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.
1522 18TH ST STE 300, Bakersfield, CA 93301
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Secondary Practice Locations 4

Location 14301 De Ette AveBakersfield, CA 93313-2916 · Phone (661) 865-2352 · Fax (661) 396-2349
Location 21321 Stine RdBakersfield, CA 93309-4176 · Phone (661) 396-2352
Location 332549 Betty Jean AveMc Farland, CA 93250-9534 · Phone (661) 865-2352
Location 46505 Bridgeport LnBakersfield, CA 93309-3404 · Phone (661) 380-7737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Anthony Dominguez Ma Psych Lmft135452 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 Mark Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
210 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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

Other Providers at the Same Location NPPES 3

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

LET'S THRIVE FAMILY COUNSELING & CLINICAL SERVICES
Marriage & Family Therapist
1522 18TH ST STE 300
BAKERSFIELD, CA 93301
Kern County (661) 843-7003
DR. MARY VALENTI PH.D
Psychologist (Clinical)
1522 18TH ST STE 300
BAKERSFIELD, CA 93301
Kern County (661) 374-4926
SOLUTIONS FAMILY COUNSELING CENTER CORP
Clinic/Center (Mental Health (Including Community Mental Health Center))
1522 18TH ST STE 300
BAKERSFIELD, CA 93301
Kern County (661) 865-2352

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 Mark Dominguez's NPI number?

The NPI number for Mark Dominguez is 1124276191. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Mark Dominguez located?

Mark Dominguez practices at 1522 18th St Ste 300, Bakersfield, CA 93301. The listed phone number is (661) 865-2352.

What is Mark Dominguez's specialty?

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

Is Mark Dominguez enrolled in Medicare?

Yes. Mark Dominguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Dominguez reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Mark Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Dominguez was last updated on June 9, 2024. 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.