Active NPI
Domonique Kent
- Mental Health Counselor
- Milwaukee, WI
National Provider Identifier
1477347847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10921125
- Practice address
- 2773 N 47TH St
Milwaukee, WI 53210-2445 - Phone
- (414) 949-0521
- NPI assigned
- Apr 8, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19547130 | WI | |
| Mental Health Counselor | 101YM0800X | 10921125 | WI | Primary |
Addresses
Primary practice location
2773 N 47TH St
Milwaukee, WI 53210-2445
Mailing address
2773 N 47TH St
Milwaukee, WI 53210-2445
Phone (414) 949-0521
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 |
|---|---|---|---|
| 19547130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 10921125 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1477347847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2773 N 47TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532102445",
"telephone_number": "414-949-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2773 N 47TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532102445",
"telephone_number": "414-949-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "DOMONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "19547130",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "10921125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.