DOMINIQUE DOMINGUEZ
NPI 1083171862
Counselor - Mental Health in Philadelphia, PA
About Dominique Dominguez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIQUE DOMINGUEZ (NPI 1083171862) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dominique Dominguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Dominique Dominguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 673 clinicians in this Medicare group
Scranton, PA 18503
- Reassigned Medicare billing, Pennsylvania enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PHILADELPHIA, PA 19124
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 Dominguez's NPI number?
The NPI number for Dominique Dominguez is 1083171862. It was assigned to this individual provider in the NPPES registry on February 27, 2019.
Where is Dominique Dominguez located?
Dominique Dominguez practices at 5043 Frankford Ave, Philadelphia, PA 19124. The listed phone number is (215) 744-4343.
What is Dominique Dominguez's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Dominique Dominguez enrolled in Medicare?
Yes. Dominique Dominguez is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Dominique Dominguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Dominguez reassigns Medicare benefits to 2 organizations: Grow Healthcare Group Of New Jersey PC (Hoboken, NJ) and Puglisi Counseling LLC (Scranton, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominique Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dominique Dominguez accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Dominique Dominguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dominique Dominguez was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Dominique Dominguez · NPI 1083171862
Mental Health provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 27, 2019.
## Identity
- **NPI:** 1083171862 (Entity type: Individual)
- **Enumerated:** February 27, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 5043 FRANKFORD AVE, Philadelphia, PA 19124-2644
- **Phone:** (215) 744-4343
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group Of New Jersey PC (NPI 1841949328, Hoboken, NJ); Puglisi Counseling LLC (NPI 1760140784, Scranton, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1083171862) · Data from the CMS NPPES public registry.