Dominic Smith, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0014731 Issued in CO

Practice address

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

Phone

(970) 658-7121

Fax

(720) 649-4951

NPI assigned

Aug 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Dominic Smith

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1467113076
  NPD Authorized official
• Our Village Counseling

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1356002950
  NPD Authorized official
• Our Village Counseling

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1609541879
  NPD Authorized official

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1790265197",
    "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",
            "telephone_number": "970-658-7121"
        },
        {
            "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",
            "fax_number": "720-649-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOMINIC",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0014731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Smith
• Brayden Taylor Smith, RDN
• Bruce Michael Smith, M.D.
• Bruce Walter Smith, M.D.
• Claire Zschau Smith, NP
• Emma Smith
• Enrique Smith, LP
• Iesha Michele Smith, BS
• Jerome I Smith, M.D.
• Jessica Kay Smith

• 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 Sep 20, 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.