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DOMONIC VASQUEZ MHP
NPI 1114503711
Counselor - Mental Health in Minneapolis, MN

Active since March 23, 2021
2800 FREEWAY BLVD STE 204, MINNEAPOLIS, MN 55430(763) 412-1996(763) 292-5653 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Domonic Vasquez Mhp NPPES

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

DOMONIC VASQUEZ MHP (NPI 1114503711) is an individual mental health provider in Minneapolis, Minnesota, licensed in Minnesota (0000000) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1114503711
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDOMONIC VASQUEZCredential: MHP
Location Address2800 FREEWAY BLVD STE 204Minneapolis, MN 55430-1751
Mailing Address2800 Freeway Blvd Ste 204Minneapolis, MN 55430-1751 · (763) 412-1996
Phone(763) 412-1996
Fax(763) 292-5653
Sole ProprietorNo
Enumeration DateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1114503711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 0000000
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 0000000 (MN)
2800 FREEWAY BLVD STE 204, Minneapolis, MN 55430
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Other Identifiers 1

Medicaid00000000MN

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.

CAROLINE SIBONGILE ANTHONY MENTAL HEALTH PRACTI
Behavior Technician
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Hennepin County (763) 412-1996
PATRICK ALAHAGI SOWAH
Counselor (Mental Health)
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Hennepin County (763) 412-1996
SARAH MARIA WEBBER
Behavior Technician
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Hennepin County (763) 412-1996
JADAJEA HILL
Case Manager/Care Coordinator
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Hennepin County (763) 412-1996
BRANDON CHRISTOPHER BADER
Community Health Worker
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Hennepin County (763) 412-1996
LIBNY HERBER DUBREUZE MENTAL HEALTH PRACTI
Case Manager/Care Coordinator
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Hennepin County (763) 412-1996
MAKENZE MAGGIE MACKOVICH MENTAL HEALTH P
Case Manager/Care Coordinator
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Hennepin County (763) 412-1996
CHEYENNE LEE LAATSCH
Behavior Technician
2800 FREEWAY BLVD STE 204
MINNEAPOLIS, MN 55430
Hennepin County (763) 412-1996

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 Domonic Vasquez's NPI number?

The NPI number for Domonic Vasquez is 1114503711. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Domonic Vasquez located?

Domonic Vasquez practices at 2800 Freeway Blvd Ste 204, Minneapolis, MN 55430. The listed phone number is (763) 412-1996.

What is Domonic Vasquez'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 Domonic Vasquez was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.