Christopher Rae Dominguez, M.S. , AMFT
NPI 1881465177ActiveIndividual· Marriage & Family Therapist· South Jordan, UT
Marriage & Family Therapist (M.S. , AMFT) in South Jordan, Utah, licensed in UT, with an NPI issued in January 2024. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1881465177 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S. , AMFT |
| Sole proprietor | No |
| NPI issued | Jan 15, 2024 |
| Last updated in NPPES | Jun 6, 2024 |
| Certified by provider | Jun 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 13760061-3904 | UT |
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) | Enrolled Practitioner - Marriage and Family Therapist (UT) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
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