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DOMONIQUE BLACKMON M.S., LPCA
NPI 1770963597
Counselor - Professional in Raleigh, NC

Active since June 06, 2015PECOS Enrolled
1708 TRAWICK RD, SUITE 101, RALEIGH, NC 27604(919) 896-7536(919) 896-7537 Get Directions Write a Review

NPPES record last updated: June 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Domonique Blackmon M.s., Lpca NPPES

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

DOMONIQUE BLACKMON M.S., LPCA (NPI 1770963597) is an individual professional provider in Raleigh, North Carolina, licensed in North Carolina (A11622) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770963597
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDOMONIQUE BLACKMONCredential: M.S., LPCA
Location Address1708 TRAWICK RD, SUITE 101Raleigh, NC 27604-3897
Mailing Address2816 Vanstory StGreensboro, NC 27407-4844 · (757) 214-2423
Phone(919) 896-7536
Fax(919) 896-7537
Sole ProprietorNo
Enumeration DateJune 6, 2015
✔ NPI 1770963597 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 NC · A11622
1708 TRAWICK RD, Raleigh, NC 27604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Domonique Blackmon M.s., Lpca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

MARQUITA PLESHETTE LYONS CPNP
Nurse Practitioner (Pediatrics)
1708 TRAWICK RD, SUITE 111
RALEIGH, NC 27604
Wake County (919) 250-3478
JEAN MARIE VEEDOCK LPCA
Counselor (Mental Health)
1708 TRAWICK RD
RALEIGH, NC 27604
Wake County (919) 780-7610
MR. DEMAH PAYNE III LPCA
Counselor (Professional)
1708 TRAWICK RD
RALEIGH, NC 27604
Wake County (919) 896-7536
KATHARINE SILEO LMFTA
Marriage & Family Therapist
1708 TRAWICK RD, SUITE 101
RALEIGH, NC 27604
Wake County (919) 896-7536
KEVIN SMITH
Marriage & Family Therapist
1708 TRAWICK RD, SUITE 101
RALEIGH, NC 27604
Wake County (919) 896-7536
ESTEBAN MINSK NCC
Counselor (Mental Health)
1708 TRAWICK RD
RALEIGH, NC 27604
Wake County (919) 896-7536

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 Domonique Blackmon's NPI number?

The NPI number for Domonique Blackmon is 1770963597. It was assigned to this individual provider in the NPPES registry on June 6, 2015.

Where is Domonique Blackmon located?

Domonique Blackmon practices at 1708 Trawick Rd Suite 101, Raleigh, NC 27604. The listed phone number is (919) 896-7536.

What is Domonique Blackmon's specialty?

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

Is Domonique Blackmon enrolled in Medicare?

Yes. Domonique Blackmon is registered in the Medicare PECOS enrollment system.

What insurance does Domonique Blackmon accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Providence Health Plan and UnitedHealthcare list Domonique Blackmon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Domonique Blackmon was last updated on June 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.