DOMONIQUE SMITH
NPI 1780340802
Counselor - Professional in Saginaw, MI

Active since November 12, 2021PECOS EnrolledAccepts Medicare Assignment
3253 CONGRESS AVE, SAGINAW, MI 48602(989) 475-4171(989) 393-6021 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 27, 2025, Mar 22, 2025, Mar 6, 2024 and 2 more (5 updates tracked since 2021).

About Domonique Smith NPPES

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

DOMONIQUE SMITH (NPI 1780340802) is an individual professional provider in Saginaw, Michigan, licensed in Michigan (6401225006) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saginaw, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780340802
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDOMONIQUE SMITH
Location Address3253 CONGRESS AVESaginaw, MI 48602-3106
Mailing Address3253 Congress AveSaginaw, MI 48602-3106 · (989) 475-4171
Fax(989) 393-6021
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 12, 2021
Last NPPES UpdateMarch 27, 20255 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1780340802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in MI · 6401225006 Licensed · 6451022099
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401225006 (MI), 6451022099 (MI)
3253 CONGRESS AVE, Saginaw, MI 48602

Other Names 1

Other Name (5)Dominique Smith

Secondary Practice Location 1

Location 12100 Hemmeter RdSaginaw, MI 48603-3944 · Phone (989) 799-2100

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Domonique Smith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325563448
PECOS Enrollment IDI20250421002668
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 20

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

Social Worker (Clinical)
3253 CONGRESS AVE
SAGINAW, MI 48602
Social Worker (Clinical)
3253 CONGRESS AVE
SAGINAW, MI 48602
Counselor (Mental Health)
3253 CONGRESS AVE
SAGINAW, MI 48602
Social Worker (Clinical)
3253 CONGRESS AVE
SAGINAW, MI 48602
Social Worker
3253 CONGRESS AVE
SAGINAW, MI 48602
Community/Behavioral Health
3253 CONGRESS AVE
SAGINAW, MI 48602
Social Worker (Clinical)
3253 CONGRESS AVE
SAGINAW, MI 48602
Social Worker (Clinical)
3253 CONGRESS AVE
SAGINAW, MI 48602

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 Smith's NPI number?

The NPI number for Domonique Smith is 1780340802. It was assigned to this individual provider in the NPPES registry on November 12, 2021. The provider is also known as Dominique Smith.

Where is Domonique Smith located?

Domonique Smith practices at 3253 Congress Ave, Saginaw, MI 48602. The listed phone number is (989) 475-4171.

What is Domonique Smith's specialty?

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

Is Domonique Smith enrolled in Medicare?

Yes. Domonique Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Domonique Smith accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and Providence Health Plan and 1 other insurer list Domonique Smith 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 Smith was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.