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JONATHAN DOMINGUEZ LCSW
NPI 1487279923
Counselor - Mental Health in Tigard, OR

Active since June 10, 2020PECOS Enrolled
11740 SW 68TH PKWY STE 200, TIGARD, OR 97223(503) 597-8393 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 1, 2023, Jun 10, 2020 (2 updates tracked since 2020).

About Jonathan Dominguez Lcsw NPPES

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

JONATHAN DOMINGUEZ LCSW (NPI 1487279923) is an individual mental health provider in Tigard, Oregon and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487279923
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN DOMINGUEZCredential: LCSW
Location Address11740 SW 68TH PKWY STE 200Tigard, OR 97223-9058
Mailing Address475 W Gloucester StGladstone, OR 97027-2059 · (406) 529-8100
Phone(503) 597-8393
Sole ProprietorNo
Enumeration DateJune 10, 2020
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1487279923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11740 SW 68TH PKWY STE 200, Tigard, OR 97223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Dominguez Lcsw 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.

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.

RYAN TATEISHI
Nurse Practitioner (Psychiatric/Mental Health)
11740 SW 68TH PKWY STE 200
TIGARD, OR 97223
Washington County (425) 477-4216
TYKERIA LORELLE COWART
Counselor (Mental Health)
11740 SW 68TH PKWY STE 200
TIGARD, OR 97223
Washington County (478) 230-4995
MARIA ELENA REIS LMHC
Counselor (Mental Health)
11740 SW 68TH PKWY STE 200
PORTLAND, OR 97223
Washington County (425) 640-7009
TYLEE COOPER CLARK CSWA
Social Worker (Clinical)
11740 SW 68TH PKWY STE 200
TIGARD, OR 97223
Washington County (425) 477-4216
BENJAMIN KIMBALL HOUGHTON LMSW
Social Worker (Clinical)
11740 SW 68TH PKWY STE 200
TIGARD, OR 97223
Washington County (971) 352-6971
MS. DOMINIQUE MICHELLE BATTLE M.S., NCC, CFT
Counselor (Mental Health)
11740 SW 68TH PKWY STE 200
TIGARD, OR 97223
Washington County (541) 252-7595
CATHERINE ROSE HENSY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11740 SW 68TH PKWY STE 200
PORTLAND, OR 97223
Washington County (971) 501-3877
JOANNA KATHERINE TYLER
Counselor (Mental Health)
11740 SW 68TH PKWY STE 200
TIGARD, OR 97223
Washington County (425) 477-4216

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 Jonathan Dominguez's NPI number?

The NPI number for Jonathan Dominguez is 1487279923. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Jonathan Dominguez located?

Jonathan Dominguez practices at 11740 SW 68th Pkwy Ste 200, Tigard, OR 97223. The listed phone number is (503) 597-8393.

What is Jonathan Dominguez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jonathan Dominguez enrolled in Medicare?

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

What insurance does Jonathan Dominguez accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc. and Providence Health Plan list Jonathan Dominguez 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 Jonathan Dominguez was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.