Dominic Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DOMINIC SMITH

Practice address

2627 Redwing Rd Ste 235
Fort Collins, CO 80526-6352

Phone

(970) 658-7121

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Dominic Smith, LPC,RPTNPI 1790265197

Title

Owner

Phone

(970) 658-7121

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominic Smith, LPC

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1790265197
  NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1467113076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 235",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 235",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266352",
            "telephone_number": "970-658-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-658-7121",
        "authorized_official_credential": "LPC,RPT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Doe, MD
• Adam J Doherty, LCSW
• Anthony H Doing, M.D.
• Nicole Marie Dollard, LPCC
• Lidia Dominguez-Valles
• Heather Domko, MSW, LSW
• Elizabeth Anne Donelson
• Beverly Elaine Donnelley, MD
• Angel Gabriel Dono, MD
• Joann Dooley, D.C.

• Mental Health Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.