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MR. DOMINIC DEWAYNE SMITH
NPI 1053148536
Peer Specialist in Richmond, MI

Active since September 18, 2024
400 STODDARD RD, RICHMOND, MI 48062(810) 392-2167 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Dominic Dewayne Smith NPPES

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

MR. DOMINIC DEWAYNE SMITH (NPI 1053148536) is an individual peer specialist in Richmond, Michigan and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1053148536
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. DOMINIC DEWAYNE SMITH
Location Address400 STODDARD RDRichmond, MI 48062-2505
Mailing Address400 Stoddard RdRichmond, MI 48062-2505 · (810) 392-2167
Phone(810) 392-2167
Sole ProprietorNo
Enumeration DateSeptember 18, 2024
NPPES CertifiedSeptember 16, 2024
✔ NPI 1053148536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
400 STODDARD RD, Richmond, MI 48062
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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.

JACOB PATTENAUDE
Social Worker (Clinical)
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KATIANNE ROSE MURPHY
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
AUTUMN LYNCH
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KAY I JOHNSON
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
CORTEZ CODY GILES
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
JUSTIN JACOBSON
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KIRSTEN HEIMBACH
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
JEREMY GARNET MACNICOL
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167

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 Dominic Smith's NPI number?

The NPI number for Dominic Smith is 1053148536. It was assigned to this individual provider in the NPPES registry on September 18, 2024.

Where is Dominic Smith located?

Dominic Smith practices at 400 Stoddard Rd, Richmond, MI 48062. The listed phone number is (810) 392-2167.

What is Dominic Smith's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Dominic Smith was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.