DANIEL POOLEY DOMINGUEZ LCMHCA NCC NPI 1376408047

NPI Information

  • NPI: 1376408047
  • Provider Name: DANIEL POOLEY DOMINGUEZ, LCMHCA, NCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 983 MAR DON DR
    WINSTON SALEM, NC
    ZIP 27104
  • Phone: (336) 923-7426

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NPI Details

Daniel Pooley Dominguez, LCMHCA, NCC is a mental health counselor in Winston Salem, NC. Daniel Pooley Dominguez, LCMHCA, NCC NPI is 1376408047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

983 MAR DON DR
WINSTON SALEM, NC
ZIP 27104-624
Phone: (336) 923-7426
Fax: (704) 625-3617

The enumeration date for this NPI number is 12/16/2025 and was last updated on 12/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthA22359NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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