Mary Dominguez, LPC in Lakewood, CO - Medicare Mental Health Counselor Provider

Mary Dominguez, LPC is a medicare enrolled "Counselor - Mental Health" provider in Lakewood, Colorado. She graduated from healthcare school in 2017 and has 8 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Green Mountain Counseling Llc and her current practice location is 12211 W Alameda Pkwy Ste 105, Lakewood, Colorado. You can reach out to her office (for appointments etc.) via phone at (979) 777-5993.

Mary Dominguez is licensed to practice in Colorado (license number LPC.0017339) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891520169.

Contact Information

	Mary Dominguez, LPC
	12211 W Alameda Pkwy Ste 105, Lakewood, CO 80228-2825
	(979) 777-5993
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Dominguez
Gender	Female
Speciality	Mental Health Counselor
Experience	8 Years
Location	12211 W Alameda Pkwy Ste 105, Lakewood, Colorado
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Dominguez graduated from medical school in 2017

NPI Data:

NPI Number: 1891520169
Provider Enumeration Date: 09/05/2024
Last Update Date: 09/05/2024

Medicare PECOS Information:

PECOS PAC ID: 3577097161
Enrollment ID: I20241105001143

Medical Identifiers

Medical identifiers for Mary Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891520169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC.0017339 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Green Mountain Counseling Llc	0042756173	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Dominguez allows following entities to bill medicare on her behalf.

Entity Name	Green Mountain Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952017337 PECOS PAC ID: 0042756173 Enrollment ID: O20240724003360

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Dominguez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mary Dominguez, LPC 3526 Newland St, Wheat Ridge, CO 80033-6443 Ph: (979) 777-5993	Mary Dominguez, LPC 12211 W Alameda Pkwy Ste 105, Lakewood, CO 80228-2825 Ph: (979) 777-5993

Reviews and Comments

Counselor in Lakewood, CO

Mrs. Karen Quinlisk, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1658 Cole Blvd, Building 6, Suite 295, Lakewood, CO 80401 Phone: 303-748-9065
Erica Lynn Johnson, Counselor Medicare: Accepting Medicare Assignments Practice Location: 200 Union Blvd Ste 200, Lakewood, CO 80228 Phone: 720-468-0806
Melissa Tilleman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8678 W Dartmouth Pl, Lakewood, CO 80227 Phone: 970-235-0913
Darrin Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12567 W Cedar Dr Ste 100, Lakewood, CO 80228 Phone: 888-719-1097
Jessica Tota, MS, LPCC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 274 Union Blvd Ste 430, Lakewood, CO 80228 Phone: 303-250-1327
Timothy Plucinsky, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8244 W Iliff Ln, Lakewood, CO 80227 Phone: 720-284-9625
Tiyanna Dennis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12055 W 2nd Pl, Lakewood, CO 80228 Phone: 303-425-0300

Mary Dominguez, LPC - Medicare Counselor in Lakewood, CO