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DOMINIQUE DIETZ
NPI 1790325801
Counselor - Mental Health in Alton, IL

Active since January 07, 2020
2615 EDWARDS ST, ALTON, IL 62002(618) 462-2331 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dominique Dietz NPPES

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

DOMINIQUE DIETZ (NPI 1790325801) is an individual mental health provider in Alton, Illinois and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1790325801
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINIQUE DIETZ
Location Address2615 EDWARDS STAlton, IL 62002-3915
Mailing Address902 W Main StWest Frankfort, IL 62896-2210
Phone(618) 462-2331
Sole ProprietorNo
Enumeration DateJanuary 7, 2020
✔ NPI 1790325801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2615 EDWARDS ST, Alton, IL 62002
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Other Names 1

Former Name (1)Dominique Shelper Lcsw

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.

ELISSHA LENHARDT
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
JENNIFER TAPEN
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
EMILY PEMBROOK
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
JOSHUA LUPARDUS
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
LAUREN LUMPKINS
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
KATIE HOLLAND
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
SUSAN BURRIS
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
LAKYA HILL MS,LPC
Counselor (Professional)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331

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 Dietz's NPI number?

The NPI number for Dominique Dietz is 1790325801. It was assigned to this individual provider in the NPPES registry on January 7, 2020. The provider is also known as Dominique Shelper Lcsw.

Where is Dominique Dietz located?

Dominique Dietz practices at 2615 Edwards St, Alton, IL 62002. The listed phone number is (618) 462-2331.

What is Dominique Dietz'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 Dietz was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.