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DOMINIQUE DOMINGO
NPI 1497629729
Counselor - Mental Health in Meridian, ID

Active since September 30, 2025
2275 S EAGLE RD STE 120, MERIDIAN, ID 83642(208) 514-2520(208) 375-2217 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Domingo NPPES

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

DOMINIQUE DOMINGO (NPI 1497629729) is an individual mental health provider in Meridian, Idaho and active in the NPI registry since September 2025. She maintains a secondary practice location in Kuna.

NPPES Registry Identity

NPI1497629729
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINIQUE DOMINGO
Location Address2275 S EAGLE RD STE 120Meridian, ID 83642-2620
Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217
Phone(208) 514-2520
Fax(208) 375-2217
Sole ProprietorNo
Enumeration DateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1497629729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2275 S EAGLE RD STE 120, Meridian, ID 83642
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Secondary Practice Location 1

Location 1708 E WYTHE CREEK CT STE 103KUNA, ID 83634-5005 · Phone (208) 922-5130 · Fax (208) 375-2217

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA MILES DO
Pediatrics
2275 S EAGLE RD STE 120
MERIDIAN, ID 83642
Ada County (208) 514-2520
SARAH P EDWARDS PHARMD
Pharmacist
2275 S EAGLE RD STE 120
MERIDIAN, ID 83642
Ada County (208) 514-2520
ANNE CROWL PA
Physician Assistant
2275 S EAGLE RD STE 120
MERIDIAN, ID 83642
Ada County (208) 514-2520
LEILA MARIE BERG PA-C
Physician Assistant
2275 S EAGLE RD STE 120
MERIDIAN, ID 83642
Ada County (208) 514-2520
FULL CIRCLE HEALTH, INC.
Pharmacy (Community/Retail Pharmacy)
2275 S EAGLE RD STE 120
MERIDIAN, ID 83642
Ada County (209) 954-8722
MAZIE GRACE SCOTT
Counselor (Mental Health)
2275 S EAGLE RD STE 120
MERIDIAN, ID 83642
Ada County (208) 514-2520
VINCENT JOSEPH SERIO III MD
Family Medicine
2275 S EAGLE RD STE 120
MERIDIAN, ID 83642
Ada County (208) 514-2520
JADELYN QUISANO REID PA-C
Physician Assistant
2275 S EAGLE RD STE 120
MERIDIAN, ID 83642
Ada County (208) 514-2520

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 Domingo's NPI number?

The NPI number for Dominique Domingo is 1497629729. It was assigned to this individual provider in the NPPES registry on September 30, 2025.

Where is Dominique Domingo located?

Dominique Domingo practices at 2275 S Eagle Rd Ste 120, Meridian, ID 83642. The listed phone number is (208) 514-2520.

What is Dominique Domingo'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 Domingo was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.