DOMINIQUE MARIE SMITH BS
NPI 1407401086
Counselor - Mental Health in Dekalb, IL

Active since August 09, 2019
631 S 1ST ST, DEKALB, IL 60115(815) 756-8501 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Marie Smith Bs NPPES

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

DOMINIQUE MARIE SMITH BS (NPI 1407401086) is an individual mental health provider in Dekalb, Illinois and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1407401086
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINIQUE MARIE SMITHCredential: BS
Location Address631 S 1ST STDekalb, IL 60115-4117
Mailing AddressPo Box 1109Dekalb, IL 60115-7109 · (815) 756-8501
Sole ProprietorNo
Enumeration DateAugust 9, 2019
NPI 1407401086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
631 S 1ST ST, Dekalb, IL 60115

Other Identifiers 1

Medicaid474579189001IL

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 (Professional)
631 S 1ST ST
DEKALB, IL 60115
Counselor (Mental Health)
631 S 1ST ST
DEKALB, IL 60115
Counselor
631 S 1ST ST
DEKALB, IL 60115
Counselor (Mental Health)
631 S 1ST ST
DEKALB, IL 60115
Counselor
631 S 1ST ST
DEKALB, IL 60115
Counselor (Mental Health)
631 S 1ST ST
DEKALB, IL 60115
Counselor (Mental Health)
631 S 1ST ST
DEKALB, IL 60115
Counselor (Mental Health)
631 S 1ST ST
DEKALB, IL 60115

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 Smith's NPI number?

The NPI number for Dominique Smith is 1407401086. It was assigned to this individual provider in the NPPES registry on August 9, 2019.

Where is Dominique Smith located?

Dominique Smith practices at 631 S 1st St, Dekalb, IL 60115. The listed phone number is (815) 756-8501.

What is Dominique Smith'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 Smith was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.