MACIE DOMINIQUE
NPI 1124787411
Counselor - Professional in Aurora, CO
About Macie Dominique NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACIE DOMINIQUE (NPI 1124787411) is an individual professional provider in Aurora, Colorado and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Macie Dominique is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Macie Dominique reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80918
- Reassigned Medicare billing, Colorado enrollment
- 3 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Macie Dominique's NPI number?
The NPI number for Macie Dominique is 1124787411. It was assigned to this individual provider in the NPPES registry on December 14, 2021.
Where is Macie Dominique located?
Macie Dominique practices at 2323 S Troy St Ste 6-200, Aurora, CO 80014. The listed phone number is (720) 263-6244.
What is Macie Dominique's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Macie Dominique enrolled in Medicare?
Yes. Macie Dominique is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Macie Dominique's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Macie Dominique reassigns Medicare benefits to Jars Of Clay, LLC (Colorado Springs, CO). 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 Macie Dominique'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 Macie Dominique was last updated on May 15, 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.
# Macie Dominique · NPI 1124787411
Professional provider in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since December 14, 2021.
## Identity
- **NPI:** 1124787411 (Entity type: Individual)
- **Enumerated:** December 14, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 2323 S TROY ST STE 6-200, Aurora, CO 80014-1984
- **Phone:** (720) 263-6244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jars Of Clay, LLC (NPI 1013563154, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124787411) · Data from the CMS NPPES public registry.