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NICHOLAS DOMENICHINI PSS
NPI 1548975592
Peer Specialist in Portland, OR

Active since January 13, 2023
6200 SE KING RD, PORTLAND, OR 97222(503) 437-5900 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Domenichini Pss NPPES

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

NICHOLAS DOMENICHINI PSS (NPI 1548975592) is an individual peer specialist in Portland, Oregon, licensed in Oregon (THW00108066) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1548975592
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameNICHOLAS DOMENICHINICredential: PSS
Location Address6200 SE KING RDPortland, OR 97222-2891
Mailing Address6200 Se King RdPortland, OR 97222-2891 · (503) 437-5900
Phone(503) 437-5900
Sole ProprietorNo
Enumeration DateJanuary 13, 2023
NPPES CertifiedJanuary 13, 2023
✔ NPI 1548975592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW00108066
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
6200 SE KING RD, Portland, OR 97222
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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.

ANA MARIA MILBURN LCSW
Social Worker (Clinical)
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
EMILY STREETER
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
KIMBERLY SAMANTHA GONZALEZ
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 358-1177
KANOUGHN LONGWELL
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 757-5290
JOSEPH ALLEN LEICK
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
MIA MITCHELL YPSS
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
HELEN HERNANDEZ
Counselor (Mental Health)
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 473-1732
CODY BLACKWELL
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377

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 Nicholas Domenichini's NPI number?

The NPI number for Nicholas Domenichini is 1548975592. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Where is Nicholas Domenichini located?

Nicholas Domenichini practices at 6200 SE King Rd, Portland, OR 97222. The listed phone number is (503) 437-5900.

What is Nicholas Domenichini's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nicholas Domenichini was last updated on January 13, 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.