Individual provider Active NPI

Domonique Green, PLPC,NCC

  • Mental Health Counselor
  • Baton Rouge, LA
National Provider Identifier
1548757743
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PLPC11373 Issued in LA
Practice address
14635 S Harrells Ferry Rd Ste 3a
Baton Rouge, LA 70816-2960
Phone
(225) 349-8984
NPI assigned
Apr 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PLPC11373 LA Primary

Addresses

Primary practice location

14635 S Harrells Ferry Rd Ste 3a
Baton Rouge, LA 70816-2960

Mailing address

14635 S Harrells Ferry Rd Ste 3a
Baton Rouge, LA 70816-2960
Phone (225) 349-8984

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

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1548757743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14635 S HARRELLS FERRY RD STE 3A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162960",
            "telephone_number": "225-349-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14635 S HARRELLS FERRY RD STE 3A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162960",
            "telephone_number": "225-349-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DOMONIQUE",
        "credential": "PLPC,NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLPC11373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.