Domonique Green, PLPC,NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PLPC11373 Issued in LA

Practice address

1402 S Magnolia St Ste G
Hammond, LA 70403-5020

Phone

(985) 402-1465

Fax

(985) 772-7175

NPI assigned

Apr 13, 2018

Last updated

Oct 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793318400000",
    "number": "1548757743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40332 SEDGWICK LN",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704544021",
            "telephone_number": "985-402-1465",
            "fax_number": "985-772-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S MAGNOLIA ST STE G",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035020",
            "telephone_number": "985-402-1465",
            "fax_number": "985-772-7175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 N Interstate 10 Service Rd W",
            "address_2": "Suite 222",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "70002",
            "country_code": "US",
            "telephone_number": "985-402-1465",
            "fax_number": "985-772-7175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DOMONIQUE",
        "credential": "PLPC,NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "PLPC11373",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "PLPC11373",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLPC11373",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "PLPC11373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Hammond, LA
• Providers in Hammond, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; 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.