DOMONIQUE SMITH NPI 1780340802

NPI Information

  • NPI: 1780340802
  • Provider Name: DOMONIQUE SMITH
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3253 CONGRESS AVE
    SAGINAW, MI
    ZIP 48602
  • Phone: (989) 475-4171

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NPI Details

Domonique Smith is a professional counselor in Saginaw, MI with 5 years of experience. Domonique Smith NPI is 1780340802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3253 CONGRESS AVE
SAGINAW, MI
ZIP 48602-106
Phone: (989) 475-4171
Fax: (989) 393-6021

The NPI 1780340802 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 11/12/2021 and was last updated on 3/27/2025.

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
1101Y00000XCounselorNo
2101YM0800XCounselorMental Health6401225006MICHIGANNo
3101YM0800XCounselorMental Health6451022099MICHIGANNo
4101YP2500XCounselorProfessional6451022099No
5101YP2500XCounselorProfessional6401225006MICHIGANYes

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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