Domynyque Fryer, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011954 Issued in VA

Practice address

600 Medical Dr Ste a&B
Hampton, VA 23666-1769

Phone

(757) 788-0600

NPI assigned

Jan 18, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Safe Space, LLC

  • Professional Counselor
  • Hampton, VA
  • NPI 1720855778
  NPD Authorized official
• Hampton Newport News Community Services Board

  • Community/Behavioral Health Agency
  • Hampton, VA
  • NPI 1659424448
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1336854983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ABERDEEN RD UNIT 9626",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236701224",
            "telephone_number": "757-660-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEDICAL DR STE A&B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661769",
            "telephone_number": "757-788-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Aberdeen Rd Unit 9626",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236701224",
            "country_code": "US",
            "telephone_number": "757-660-3157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYER",
        "first_name": "DOMYNYQUE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659424448",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Friends & Family Support Services LLC
• Sarah Friesland
• Shawnita Frisco, M.D.
• From Start 2 Finish Counseling, Inc.
• Alyssa Ruth Frost, MSW, LCSW-A
• Alexander Ward Fuchs, D.M.D.
• Taylor Fulgham, FNP
• Catherine Oden Fulton, DDS
• Nyesha Fulton, PHARM D
• Erin Lindsey Funderburke, M.D.

• Professional Counselor in Hampton, VA
• Providers in Hampton, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.