DOMINIQUE DOMINGUEZ
NPI 1083171862
Counselor - Mental Health in Philadelphia, PA

Active since February 27, 2019PECOS EnrolledAccepts Medicare Assignment
5043 FRANKFORD AVE, PHILADELPHIA, PA 19124(215) 744-4343 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083171862
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINIQUE DOMINGUEZ
Location Address5043 FRANKFORD AVEPhiladelphia, PA 19124-2644
Mailing Address12203 Barbary RdPhiladelphia, PA 19154-1801
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 27, 2019
NPI 1083171862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5043 FRANKFORD AVE, Philadelphia, PA 19124

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dominique Dominguez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123555695
PECOS Enrollment IDI20250318000047
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Counselor (Mental Health)
5043 FRANKFORD AVE
PHILADELPHIA, PA 19124
Counselor
5043 FRANKFORD AVE
PHILA, PA 19124
Counselor (Mental Health)
5043 FRANKFORD AVE
PHILADELPHIA, PA 19124
Counselor (Mental Health)
5043 FRANKFORD AVE
PHILADELPHIA, PA 19124
Counselor (Mental Health)
5043 FRANKFORD AVE
PHILADELPHIA, PA 19124
Counselor (Professional)
5043 FRANKFORD AVE
PHILADELPHIA, PA 19124
Counselor (Professional)
5043 FRANKFORD AVE
PHILADELPHIA, PA 19124
Counselor (Professional)
5043 FRANKFORD AVE
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.