MRS. DOMINIQUE LINDSEN REISON MA, APCC
NPI 1336559954
Counselor - Professional in San Diego, CA

Q: What is Dominique Reison's NPI number?

The NPI number for Dominique Reison is 1336559954. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Q: What is Dominique Reison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Dominique Reison was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 05, 2014PECOS Enrolled

1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110(619) 398-0355(619) 398-0350 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 14, 2018, Sep 11, 2017 (2 updates tracked since 2017).

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About Mrs. Dominique Lindsen Reison Ma, Apcc NPPES

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

MRS. DOMINIQUE LINDSEN REISON MA, APCC (NPI 1336559954) is an individual professional provider in San Diego, California, licensed in California (APCC4793) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1336559954

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. DOMINIQUE LINDSEN REISONCredential: MA, APCC

Location Address1260 MORENA BLVD STE 100San Diego, CA 92110-3850

Mailing Address1260 Morena Blvd Ste 100San Diego, CA 92110-3850 · (619) 398-0355 · Fax (619) 398-0350

Phone(619) 398-0355

Fax(619) 398-0350

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 5, 2014

Last NPPES UpdateFebruary 14, 20182 updates tracked since enumeration

✔ NPI 1336559954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · APCC4793

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1260 MORENA BLVD STE 100, San Diego, CA 92110

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Dominique Lindsen Reison Ma, Apcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325508898

PECOS Enrollment IDI20260903002010

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 Dominique Reison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Research Foundation Inc

Same address

Community/Behavioral Health

1202 MORENA BLVD STE 100
San Diego, CA 92110

Reassigned Medicare billing, California enrollment
147 clinicians in this Medicare group

NPI 1952328700 (619) 275-0822

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 20

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

DAHARLIKA DEGRACIA

Case Manager/Care Coordinator