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DOMINIQUE COMMON
NPI 1487382958
Counselor in Ellisville, MS

Active since August 11, 2022
5192 HIGHWAY 11 N, ELLISVILLE, MS 39437(601) 649-7921(601) 649-7939 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Common NPPES

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

DOMINIQUE COMMON (NPI 1487382958) is an individual counselor in Ellisville, Mississippi, licensed in Mississippi (5506) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1487382958
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDOMINIQUE COMMON
Location Address5192 HIGHWAY 11 NEllisville, MS 39437-5050
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901 · Fax (601) 705-1952
Phone(601) 649-7921
Fax(601) 649-7939
Sole ProprietorNo
Enumeration DateAugust 11, 2022
NPPES CertifiedAugust 11, 2022
✔ NPI 1487382958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MS · 5506
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5192 HIGHWAY 11 N, Ellisville, MS 39437
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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.

LEIGHANNE KITTRELL
Counselor
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
DANIELLE PORTER PCMHT
Counselor (Mental Health)
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 425-3439
DENICKA JONES
Registered Nurse
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
FAMILY HEALTH CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 425-3033
ANITRA POSEY LPN
Licensed Practical Nurse
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
ADAM BRENNER
Registered Nurse
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
SHEILA VICKERS IDD WAIVER SERVICES
Day Training/Habilitation Specialist
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
NANCY KEYS
Counselor (Mental Health)
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 779-2487

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 Common's NPI number?

The NPI number for Dominique Common is 1487382958. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Where is Dominique Common located?

Dominique Common practices at 5192 Highway 11 N, Ellisville, MS 39437. The listed phone number is (601) 649-7921.

What is Dominique Common's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Dominique Common was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.