Domonique Blackmon, M.S., LPCA
NPI 1770963597 · Professional Counselor · Raleigh, NC
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Domonique Blackmon, M.S., LPCA is a Professional Counselor provider in Raleigh, NC (NPI 1770963597).
Provider details
- NPI number
- 1770963597
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- M.S., LPCA
- Sex
- Female
- Sole proprietor
- No
- License
- A11622 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-06
- Last updated
- 2015-06-06
Frequently asked questions
- What is Domonique Blackmon's NPI number?
- Domonique Blackmon's National Provider Identifier (NPI) is 1770963597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Domonique Blackmon's specialty?
- Domonique Blackmon is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Domonique Blackmon located?
- Domonique Blackmon's practice location on file with NPPES is 1708 Trawick Rd, Raleigh, NC 27604-3897.
- What is Domonique Blackmon's phone number?
- The practice phone number listed in the NPPES registry for Domonique Blackmon is (919) 896-7536.
- Does Domonique Blackmon accept Medicare?
- Domonique Blackmon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Domonique Blackmon's NPI active?
- Yes — Domonique Blackmon's NPI (1770963597) is active in the NPPES registry as of the last update on 2015-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.