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DOMINIQUE BALDERAS LPC
NPI 1245984996
Counselor - Mental Health in Waukesha, WI

Active since February 10, 2022
W317S3439 STATE ROAD 83 APT B, WAUKESHA, WI 53189(414) 759-5247 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2025, Feb 10, 2022 (2 updates tracked since 2022).

About Dominique Balderas Lpc NPPES

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

DOMINIQUE BALDERAS LPC (NPI 1245984996) is an individual mental health provider in Waukesha, Wisconsin, licensed in Wisconsin (11434125) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1245984996
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINIQUE BALDERASCredential: LPC
Location AddressW317S3439 STATE ROAD 83 APT BWaukesha, WI 53189-9428
Mailing AddressW317s3439 State Road 83 Apt BWaukesha, WI 53189-9428 · (414) 759-5247
Phone(414) 759-5247
Sole ProprietorNo
Enumeration DateFebruary 10, 2022
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1245984996 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 WI · 11434125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19426 (WI)
W317S3439 STATE ROAD 83 APT B, Waukesha, WI 53189
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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 Balderas's NPI number?

The NPI number for Dominique Balderas is 1245984996. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Dominique Balderas located?

Dominique Balderas practices at W317s3439 State Road 83 Apt B, Waukesha, WI 53189. The listed phone number is (414) 759-5247.

What is Dominique Balderas'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 Balderas was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.