Moving Mosaic Therapy & Counseling, PLLC
NPI 1093474652ActiveOrganization· Counselor, Professional· North Riverside, IL
Counselor, Professional in North Riverside, Illinois, registered in NPPES in December 2021. The authorized official on file is Katie Marie Dominguez, MA, LCPC, Co-Founder/Psychotherapist.
Overview
| NPI | 1093474652 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 10, 2021 |
| Last updated in NPPES | Oct 2, 2023 |
| Certified by provider | Oct 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Counselor | 101Y00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Dance Therapist | 225600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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