1. Home
  2. Directory
  3. Colorado
  4. Lakewood
  5. Counselor
  6. NPI Profile

MARY DOMINGUEZ LPC
NPI 1891520169
Counselor - Mental Health in Lakewood, CO

Active since September 05, 2024PECOS Enrolled
12211 W ALAMEDA PKWY STE 105, LAKEWOOD, CO 80228(979) 777-5993 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Dominguez Lpc NPPES

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

MARY DOMINGUEZ LPC (NPI 1891520169) is an individual mental health provider in Lakewood, Colorado, licensed in Colorado (LPC.0017339) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891520169
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY DOMINGUEZCredential: LPC
Location Address12211 W ALAMEDA PKWY STE 105Lakewood, CO 80228-2825
Mailing Address3526 Newland StWheat Ridge, CO 80033-6443 · (979) 777-5993
Phone(979) 777-5993
Sole ProprietorYes
Enumeration DateSeptember 5, 2024
NPPES CertifiedSeptember 5, 2024
✔ NPI 1891520169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · LPC.0017339
12211 W ALAMEDA PKWY STE 105, Lakewood, CO 80228
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Dominguez Lpc 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 Mary Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Green Mountain Counseling LLC
Same address
Mental Health
12211 W ALAMEDA PKWY STE 105
Lakewood, CO 80228
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group
NPI 1952017337 (303) 895-7204

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 6

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

MELISSA PARADIS LPCC
Counselor (Mental Health)
12211 W ALAMEDA PKWY STE 105
LAKEWOOD, CO 80228
Jefferson County (720) 767-2755
DR. ANDREW R STAGER PHD
Counselor (Mental Health)
12211 W ALAMEDA PKWY STE 105
LAKEWOOD, CO 80228
Jefferson County (720) 722-4195
BETHANY PORTER LPCC
Counselor (Mental Health)
12211 W ALAMEDA PKWY STE 105
LAKEWOOD, CO 80228
Jefferson County (309) 369-4673
NICOLE RENAE HUNKA LPC
Counselor (Mental Health)
12211 W ALAMEDA PKWY STE 105
LAKEWOOD, CO 80228
Jefferson County (172) 072-2419
MS. MELISSA LYNN MEUZELAAR M.A., L.P.C.
Counselor (Professional)
12211 W ALAMEDA PKWY STE 105
LAKEWOOD, CO 80228
Jefferson County (720) 273-5973
GREEN MOUNTAIN COUNSELING LLC
Counselor (Mental Health)
12211 W ALAMEDA PKWY STE 105
LAKEWOOD, CO 80228
Jefferson County (303) 895-7204

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 Mary Dominguez's NPI number?

The NPI number for Mary Dominguez is 1891520169. It was assigned to this individual provider in the NPPES registry on September 5, 2024.

Where is Mary Dominguez located?

Mary Dominguez practices at 12211 W Alameda Pkwy Ste 105, Lakewood, CO 80228. The listed phone number is (979) 777-5993.

What is Mary Dominguez's specialty?

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

Is Mary Dominguez enrolled in Medicare?

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

Which organization bills Medicare for Mary Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dominguez reassigns Medicare benefits to Green Mountain Counseling LLC (Lakewood, CO). 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 Mary Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Dominguez was last updated on September 5, 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.