DOMONIQUE EVANS MS LPC NPI 1578386942

NPI Information

  • NPI: 1578386942
  • Provider Name: DOMONIQUE EVANS, MS, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4200 MONUMENT RD
    PHILADELPHIA, PA
    ZIP 19131
  • Phone: (877) 927-0775

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NPI Details

Domonique Evans, MS, LPC is a professional counselor in Philadelphia, PA with 4 years of experience. Domonique Evans, MS, LPC NPI is 1578386942. 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:

4200 MONUMENT RD
PHILADELPHIA, PA
ZIP 19131-689
Phone: (877) 927-0775

The NPI 1578386942 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/5/2024 and was last updated on 5/8/2025.

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 HealthPC17769PENNSYLVANIANo
2101YP2500XCounselorProfessionalPC17769PENNSYLVANIAYes

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

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