JERRY DOMINIQUE
NPI 1407256860
Counselor - Mental Health in Henrico, VA
About Jerry Dominique NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY DOMINIQUE (NPI 1407256860) is an individual mental health provider in Henrico, Virginia and active in the NPI registry since September 2014.
NPPES Registry Identity
Specialties & Licenses
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 Jerry Dominique's NPI number?
The NPI number for Jerry Dominique is 1407256860. It was assigned to this individual provider in the NPPES registry on September 3, 2014.
Where is Jerry Dominique located?
Jerry Dominique practices at 787 Pleasant St, Henrico, VA 23075. The listed phone number is (347) 742-7360.
What is Jerry Dominique'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 Jerry Dominique was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jerry Dominique · NPI 1407256860
Mental Health provider in Henrico, Virginia. Individual provider, active in the CMS NPPES registry since September 3, 2014.
## Identity
- **NPI:** 1407256860 (Entity type: Individual)
- **Enumerated:** September 3, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 787 PLEASANT ST, Henrico, VA 23075-1235
- **Phone:** (347) 742-7360
## Record status
- **NPPES last updated:** September 3, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1407256860) · Data from the CMS NPPES public registry.