Active NPI
Dominique N Branch
- Marriage & Family Therapist
- Chicago, IL
National Provider Identifier
1134699655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.001893
- Practice address
- 25 E Washington St Ste 1718
Chicago, IL 60602-1839 - Phone
- (312) 566-8536
- NPI assigned
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.001893 | IL | Primary |
Addresses
Primary practice location
25 E Washington St Ste 1718
Chicago, IL 60602-1839
Mailing address
212 E Cullerton St Apt 1101
Chicago, IL 60616-1299
Phone (504) 621-4946
Other names 1
- Dominique N Walker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.001893 | IL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1134699655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E CULLERTON ST APT 1101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606161299",
"telephone_number": "504-621-4946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST STE 1718",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021839",
"telephone_number": "312-566-8536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "DOMINIQUE",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2025-06-12",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.001893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOMINIQUE",
"last_name": "WALKER",
"middle_name": "N",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.