DOMINIQUE AVERY
NPI 1508254731
Counselor - Professional in Boise, ID

Active since December 22, 2014
1011 W WILLIAMS ST, SUITE G, BOISE, ID 83706(208) 352-0803 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominique Avery NPPES

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

DOMINIQUE AVERY (NPI 1508254731) is an individual professional provider in Boise, Idaho, licensed in Idaho (LPC-5677) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1508254731
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDOMINIQUE AVERY
Location Address1011 W WILLIAMS ST, SUITE GBoise, ID 83706-3564
Mailing Address2302 N 14th StBoise, ID 83702-1109
Sole ProprietorYes
Enumeration DateDecember 22, 2014
NPI 1508254731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in ID · LPC-5677
1011 W WILLIAMS ST, Boise, ID 83706

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
1011 W WILLIAMS ST, SUITE G
BOISE, ID 83706
Counselor (Mental Health)
1011 W WILLIAMS ST, SUITE G
BOISE, ID 83706

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 Avery's NPI number?

The NPI number for Dominique Avery is 1508254731. It was assigned to this individual provider in the NPPES registry on December 22, 2014.

Where is Dominique Avery located?

Dominique Avery practices at 1011 W Williams St Suite G, Boise, ID 83706. The listed phone number is (208) 352-0803.

What is Dominique Avery's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Dominique Avery was last updated on December 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.