DOMINIQUE LAURAE THURSTON
NPI 1972395994
Marriage & Family Therapist in Philadelphia, PA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dominique Laurae Thurston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dominique Thurston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Pennsylvania enrollment
- 833 clinicians in this Medicare group
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 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.
Which organization bills Medicare for Dominique Thurston's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Thurston reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Dominique Thurston'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 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 17 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.
# Dominique Laurae Thurston · NPI 1972395994
Marriage & Family Therapist provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 19, 2025.
## Identity
- **NPI:** 1972395994 (Entity type: Individual)
- **Enumerated:** May 19, 2025
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MF001724 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5939 WOODCREST AVE, Philadelphia, PA 19131-2216
- **Phone:** (215) 873-3399
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972395994) · Data from the CMS NPPES public registry.