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DOMINIQUE LAURAE THURSTON
NPI 1972395994
Marriage & Family Therapist in Philadelphia, PA

Active since May 19, 2025PECOS Enrolled
5939 WOODCREST AVE, PHILADELPHIA, PA 19131(215) 873-3399 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dominique Laurae Thurston NPPES

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

DOMINIQUE LAURAE THURSTON (NPI 1972395994) is an individual marriage & family therapist in Philadelphia, Pennsylvania, licensed in Pennsylvania (MF001724) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972395994
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDOMINIQUE LAURAE THURSTON
Location Address5939 WOODCREST AVEPhiladelphia, PA 19131-2216
Mailing Address5939 Woodcrest AvePhiladelphia, PA 19131-2216 · (215) 873-3399
Phone(215) 873-3399
Sole ProprietorNo
Enumeration DateMay 19, 2025
NPPES CertifiedMay 19, 2025
✔ NPI 1972395994 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 PA · MF001724
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.
5939 WOODCREST AVE, Philadelphia, PA 19131
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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)

Dominique Laurae Thurston 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.

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 Dominique Thurston's NPI number?

The NPI number for Dominique Thurston is 1972395994. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Dominique Thurston located?

Dominique Thurston practices at 5939 Woodcrest Ave, Philadelphia, PA 19131. The listed phone number is (215) 873-3399.

What is Dominique Thurston's specialty?

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

Is Dominique Thurston enrolled in Medicare?

Yes. Dominique Thurston is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominique Thurston was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.