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DOMINIQUE AMEZCUA
NPI 1912450420
Counselor in Las Vegas, NV

Active since August 01, 2016
5258 S EASTERN AVE, LAS VEGAS, NV 89119(702) 464-5080(702) 464-5081 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Amezcua NPPES

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

DOMINIQUE AMEZCUA (NPI 1912450420) is an individual counselor in Las Vegas, Nevada and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1912450420
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDOMINIQUE AMEZCUA
Location Address5258 S EASTERN AVELas Vegas, NV 89119-2326
Mailing Address5258 S Eastern AveLas Vegas, NV 89119-2326 · (702) 464-5080 · Fax (702) 464-5081
Phone(702) 464-5080
Fax(702) 464-5081
Sole ProprietorYes
Enumeration DateAugust 1, 2016
✔ NPI 1912450420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5258 S EASTERN AVE, Las Vegas, NV 89119
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Other Providers at the Same Location NPPES 10

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

MISS LASHAY A HODGE
Student in an Organized Health Care Education/Training Program
5258 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 676-8912
PRESTON ROBINSON III
Behavior Technician
5258 S EASTERN AVE, #105
LAS VEGAS, NV 89119
Clark County (702) 464-5080
BRIDGE OF HOPE COUNSELING
Community/Behavioral Health
5258 S EASTERN AVE, 105
LAS VEGAS, NV 89119
Clark County (702) 464-5080
ANGELIA SCOTT
Behavior Technician
5258 S EASTERN AVE, 105
LAS VEGAS, NV 89119
Clark County (702) 464-5080
ERNESTINA BERNADETTE GALLEGOS
Counselor (Addiction (Substance Use Disorder))
5258 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 464-5080
RICKY WONG
Counselor (Mental Health)
5258 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 464-5080
MS. VERONICA MOORE
Psychoanalyst
5258 S EASTERN AVE, #105
LAS VEGAS, NV 89119
Clark County (702) 464-5080
WILLIE MADDOX
Case Management
5258 S EASTERN AVE, 105
LAS VEGAS, NV 89119
Clark County (702) 464-5080

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 Amezcua's NPI number?

The NPI number for Dominique Amezcua is 1912450420. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Where is Dominique Amezcua located?

Dominique Amezcua practices at 5258 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 464-5080.

What is Dominique Amezcua's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Dominique Amezcua was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.