IndividualActive
Kimberly Domingo
NPI 1124990908 · Professional Counselor · Pagosa Springs, CO
Provider details
- NPI number
- 1124990908
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPC.0022418 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2800 Cornerstone Dr Ste 110
Pagosa Springs, CO 81147-4046
Phone: (970) 779-9072
Street-level locationGet directions
Mailing address
121 Oakwood Cir
Pagosa Springs, CO 81147-9354
Registry dates
- Enumerated
- 2025-09-22
- Last updated
- 2025-09-22
- Certified
- 2025-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.