DR. DOMONIQUE RICE IMFT-S NPI 1790062321

NPI Information

NPI: 1790062321
Provider Name: DR. DOMONIQUE RICE, IMFT-S
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1491 POLARIS PKWY STE 216
COLUMBUS, OH
ZIP 43240
Phone: (614) 568-1258

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NPI Details

DR. Domonique Rice, IMFT-S is a marriage family therapist in Columbus, OH with 15 years of experience. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. DR. Domonique Rice, IMFT-S NPI is 1790062321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1491 POLARIS PKWY STE 216
COLUMBUS, OH
ZIP 43240-041
Phone: (614) 568-1258

The NPI 1790062321 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/10/2011 and was last updated on 9/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist	M.1100005	OHIO	No
2	106H00000X	Marriage & Family Therapist	0717001625	VIRGINIA	No
3	106H00000X	Marriage & Family Therapist	F.1800041-SUPV	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1790062321	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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