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DOMINIC GERALD VILLANUEVA LMFT
NPI 1124662994
Marriage & Family Therapist in South Pasadena, CA

Active since November 04, 2019PECOS EnrolledAccepts Medicare Assignment
625 FAIR OAKS AVE STE 300, SOUTH PASADENA, CA 91030(626) 441-4221 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, Nov 7, 2019 (2 updates tracked since 2019).

About Dominic Gerald Villanueva Lmft NPPES

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

DOMINIC GERALD VILLANUEVA LMFT (NPI 1124662994) is an individual marriage & family therapist in South Pasadena, California, licensed in California (LMFT142110) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124662994
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDOMINIC GERALD VILLANUEVACredential: LMFT
Location Address625 FAIR OAKS AVE STE 300South Pasadena, CA 91030-5805
Mailing Address625 Fair Oaks Ave Ste 300South Pasadena, CA 91030-5805 · (626) 441-4221
Phone(626) 441-4221
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 4, 2019
Last NPPES UpdateFebruary 29, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
✔ NPI 1124662994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · LMFT142110✔ Licensed in CA · 116326
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 116326 (CA)
625 FAIR OAKS AVE STE 300, South Pasadena, CA 91030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dominic Gerald Villanueva Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800239542
PECOS Enrollment IDI20240208004366
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.

Other Providers at the Same Location NPPES 20

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

JEFFREY CAPPS
Social Worker (Clinical)
625 FAIR OAKS AVE STE 300
SOUTH PASADENA, CA 91030
Los Angeles County (626) 441-4221
LIZETH TAPIA-RODRIGUEZ
Day Training/Habilitation Specialist
625 FAIR OAKS AVE STE 300
SOUTH PASADENA, CA 91030
Los Angeles County (626) 441-4221
DR. MELINDA DOCTER ED.D., BCBA
Behavior Analyst
625 FAIR OAKS AVE STE 300
SOUTH PASADENA, CA 91030
Los Angeles County (323) 341-5580
DAVID ALFONSO GUZMAN LPT
Licensed Psychiatric Technician
625 FAIR OAKS AVE STE 300
S PASADENA, CA 91030
Los Angeles County (626) 723-9438
MRS. ANDREA HANKEN
Social Worker (Clinical)
625 FAIR OAKS AVE STE 300
SOUTH PASADENA, CA 91030
Los Angeles County (626) 395-7100
LISA MANUKYAN
Day Training/Habilitation Specialist
625 FAIR OAKS AVE STE 300
SOUTH PASADENA, CA 91030
Los Angeles County (626) 441-4221
JOANA RODRIGUEZ
Marriage & Family Therapist
625 FAIR OAKS AVE STE 300
SOUTH PASADENA, CA 91030
Los Angeles County (424) 644-9626
VIRGINIA NALBANDIAN BA
Community Health Worker
625 FAIR OAKS AVE STE 300
S PASADENA, CA 91030
Los Angeles County (626) 441-4221

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 Dominic Gerald Villanueva's NPI number?

The NPI number for Dominic Gerald Villanueva is 1124662994. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Dominic Gerald Villanueva located?

Dominic Gerald Villanueva practices at 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030. The listed phone number is (626) 441-4221.

What is Dominic Gerald Villanueva's specialty?

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

Is Dominic Gerald Villanueva enrolled in Medicare?

Yes. Dominic Gerald Villanueva is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dominic Gerald Villanueva was last updated on February 29, 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.