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MR. CHRISTOPHER RAE DOMINGUEZ M.S. , AMFT
NPI 1881465177
Marriage & Family Therapist in South Jordan, UT

Active since January 15, 2024PECOS Enrolled
10718 S BECKSTEAD LN STE 103, SOUTH JORDAN, UT 84095(801) 477-0041 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Christopher Rae Dominguez M.s. , Amft NPPES

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

MR. CHRISTOPHER RAE DOMINGUEZ M.S. , AMFT (NPI 1881465177) is an individual marriage & family therapist in South Jordan, Utah, licensed in Utah (13760061-3904) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1881465177
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. CHRISTOPHER RAE DOMINGUEZCredential: M.S. , AMFT
Location Address10718 S BECKSTEAD LN STE 103South Jordan, UT 84095-2605
Mailing Address1426 E 820 NOrem, UT 84097-5481 · (801) 477-0041
Phone(801) 477-0041
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 15, 2024
Last NPPES UpdateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1881465177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in UT · 13760061-3904
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
10718 S BECKSTEAD LN STE 103, South Jordan, UT 84095
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Christopher Rae Dominguez M.s. , Amft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022594852
PECOS Enrollment IDI20260112002499
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 4

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

MARIANN GONZALEZ ACMHC
Counselor (Mental Health)
10718 S BECKSTEAD LN STE 103
SOUTH JORDAN, UT 84095
Salt Lake County (385) 309-1038
BRENDAN EWELL LMFT
Marriage & Family Therapist
10718 S BECKSTEAD LN STE 103
SOUTH JORDAN, UT 84095
Salt Lake County (801) 477-0041
STEPHANIE RAE BENSON LAMFT
Marriage & Family Therapist
10718 S BECKSTEAD LN STE 103
SOUTH JORDAN, UT 84095
Salt Lake County (801) 477-0041
MRS. KAMBREA MUHLESTEIN BRINGHURST
Marriage & Family Therapist
10718 S BECKSTEAD LN STE 103
SOUTH JORDAN, UT 84095
Salt Lake County (801) 477-0041

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 Christopher Dominguez's NPI number?

The NPI number for Christopher Dominguez is 1881465177. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Where is Christopher Dominguez located?

Christopher Dominguez practices at 10718 S Beckstead Ln Ste 103, South Jordan, UT 84095. The listed phone number is (801) 477-0041.

What is Christopher Dominguez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Christopher Dominguez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Christopher Dominguez was last updated on June 6, 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.