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DOMINIQUE FORDHAM
NPI 1013575059
Counselor - Mental Health in Pottstown, PA

Active since June 04, 2019
11 ROBINSON ST, POTTSTOWN, PA 19464(484) 941-0500 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominique Fordham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE FORDHAM (NPI 1013575059) is an individual mental health provider in Pottstown, Pennsylvania and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1013575059
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINIQUE FORDHAM
Location Address11 ROBINSON STPottstown, PA 19464-6421
Mailing Address11 Robinson StPottstown, PA 19464-6421 · (484) 941-0500
Phone(484) 941-0500
Sole ProprietorNo
Enumeration DateJune 4, 2019
✔ NPI 1013575059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11 ROBINSON ST, Pottstown, PA 19464
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRISCILLA BARNES-DAVIS
Counselor
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
ERIN TYNDALL
Counselor
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
ROSANNE R SMITH
Counselor
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
JOANNE BEAUREGARD
Counselor
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
AUTUMN HARRIS
Counselor
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
OLIVIA TOMKO
Counselor (Mental Health)
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
TONIA ANN GREEN
Counselor (Mental Health)
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500
JAMES LOGAN POTTS
Counselor (Addiction (Substance Use Disorder))
11 ROBINSON ST
POTTSTOWN, PA 19464
Montgomery County (484) 941-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Fordham's NPI number?

The NPI number for Dominique Fordham is 1013575059. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Dominique Fordham located?

Dominique Fordham practices at 11 Robinson St, Pottstown, PA 19464. The listed phone number is (484) 941-0500.

What is Dominique Fordham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dominique Fordham was last updated on June 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.