DOMINIQUE WALKER (NPI# 1891143996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891143996 |
| Entity Type | Individual |
| Full Name | DOMINIQUE WALKER |
| Credential | LPC |
| Practice Address |
79 W Alexandrine St Detroit MI 48201-2015 |
| Practice Telephone | 3138315535 |
| Practice Fax Number | 3138312608 |
| Mailing Telephone | 3138315535 |
| Mailing Fax Number | 3138312608 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
6401017213 | MI | Behavioral Health & Social Service Providers |
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1891143996 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831515428 | Dominique James Walker | Counselor | 1333 N Buffalo Dr Ste 25, Las Vegas, NV 89128-3634 | 2014-03-07 |
| 1306446281 | Dominique Andre Walker | Case Manager/Care Coordinator | 500 Madison Ave, Toledo, OH 43604-1222 | 2020-10-29 |
| 1134699655 | Dominique N Walker | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2018-11-27 |
| 1902398704 | Dominique J Walker | Behavior Technician | 125 Wellness Way, Hot Springs, AR 71913 | 2018-06-06 |
| 1700243060 | Dominique Walker | Counselor | 1010 Auburn Ave, Lafayette, LA 70503-2308 | 2016-01-18 |
| 1831564095 | Dominique Walker | Speech-Language Pathologist | 5465 William Flynn Hwy, Gibsonia, PA 15044-9696 | 2015-12-14 |
| 1710248950 | Dominique Walker | Counselor | 13 Temple St, Quincy, MA 02169-5110 | 2012-06-05 |
| 1427352947 | Dominique Jeanne Walker | Family Medicine | 615 Fairhurst St, Sterling, CO 80751-4523 | 2010-12-23 |
| Street Address |
79 W ALEXANDRINE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801846985 | James Patrick Stenger | Dentist | 79 W Alexandrine St, 3rd Floor, Detroit, MI 48201-2015 | 2006-05-11 |
| 1518572809 | Holly Paige Lawson | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-09-13 |
| 1013522416 | Sadie Berthiaume | Case Manager/Care Coordinator | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-09-11 |
| 1720604028 | Tasneem Mahmoud Abdelhamid | Community Health Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-06-23 |
| 1295358943 | Jordan Michelle Nosis | Student in an Organized Health Care Education/Training Program | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-05-28 |
| 1861032070 | Joyce Witherspoon | Case Manager/Care Coordinator | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-01-15 |
| 1770123176 | Tyanna Elizabeth Jamison | Peer Specialist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-01-14 |
| 1518507565 | Tia Mitchell | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-01-07 |
| 1154960342 | Kristin Marie Kunes | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-01-05 |
| 1629615836 | Stephanie Warren | Dental Hygienist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2019-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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| 1386255032 | Restore Me, LLC | Counselor | 17836 Chandler Park Dr, Detroit, MI 48224-1340 | 2020-08-14 |
| 1396374617 | Venus D Amos | Counselor | 22725 Cambridge Ave, Detroit, MI 48219-1725 | 2020-04-07 |
| 1487280848 | A Safe Place Counseling and Community Support Services L3c | Counselor | 20216 Albany St, Detroit, MI 48234-2505 | 2020-03-18 |
| 1689211088 | Tracey Johnson | Counselor | 14010 Monica St Apt 23, Detroit, MI 48238-2565 | 2019-12-04 |
| 1790320331 | Faith Hope & Love Outreach Center Inc | Counselor | 18284 James Couzens Fwy., Detroit, MI 48235-2503 | 2019-11-07 |
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1497210744 | Phoenix Interventions Pllc | Counselor | 7633 E Jefferson Ave Ste 110, Detroit, MI 48214-3730 | 2019-01-31 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.