KAMBRIA KENNEDY-DOMINGUEZ LPC, LCDC, RYT
NPI 1841531597
Counselor - Professional in Dallas, TX

Active since March 05, 2013PECOS Enrolled
314 S WILLOMET AVE, DALLAS, TX 75208(214) 770-5335 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kambria Kennedy-dominguez Lpc, Lcdc, Ryt NPPES

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

KAMBRIA KENNEDY-DOMINGUEZ LPC, LCDC, RYT (NPI 1841531597) is an individual professional provider in Dallas, Texas, licensed in Texas (69806) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841531597
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAMBRIA KENNEDY-DOMINGUEZCredential: LPC, LCDC, RYT
Location Address314 S WILLOMET AVEDallas, TX 75208-6001
Mailing Address314 S Willomet AveDallas, TX 75208-6001 · (214) 770-5335
Sole ProprietorYes
Enumeration DateMarch 5, 2013
Last NPPES UpdateSeptember 16, 2015
✔ NPI 1841531597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 69806
314 S WILLOMET AVE, Dallas, TX 75208

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kambria Kennedy-dominguez Lpc, Lcdc, Ryt 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.

Medicare Billing Reassignment

Medicare enrollment records show Kambria Kennedy-dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
533 W 12TH ST
Dallas, TX 75208
  • Reassigned Medicare billing, Texas enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kambria Kennedy-dominguez's NPI number?

The NPI number for Kambria Kennedy-dominguez is 1841531597. It was assigned to this individual provider in the NPPES registry on March 5, 2013.

Where is Kambria Kennedy-dominguez located?

Kambria Kennedy-dominguez practices at 314 S Willomet Ave, Dallas, TX 75208. The listed phone number is (214) 770-5335.

What is Kambria Kennedy-dominguez's specialty?

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

Is Kambria Kennedy-dominguez enrolled in Medicare?

Yes. Kambria Kennedy-dominguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kambria Kennedy-dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kambria Kennedy-dominguez reassigns Medicare benefits to Flourish Counseling And Consultation, PLLC (Dallas, TX). 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 Kambria Kennedy-dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kambria Kennedy-dominguez accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Kambria Kennedy-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 Kambria Kennedy-dominguez was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.