Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dominique Dominguez

Individual provider Mental Health Counselor · NPI 1083171862

Dominique Dominguez is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Puglisi Counseling LLC, a 10-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2019
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Practice location Address checks out

5043 Frankford Ave
Philadelphia, PA 19124-2644
Phone: (215) 744-4343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1083171862
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2019
Last updated in NPPESFebruary 27, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Puglisi Counseling Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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