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NPI · 1083369490 · NPPES-sourced

Dominique Wilson

ActiveProfessional Counselor
NPI Number
1083369490
Type 1 · Individual
Taxonomy Code
101YP2500X
Contact
(952) 228-3487
Primary practice line
Last Updated
Enumerated
Primary practice addressMN · 55013-9814
11185 Lake Blvd Ste 205Chisago City, MN 55013-9814
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About this NPIWhat this record shows.

NPI 1083369490 is registered to Dominique Wilson, a Professional Counselor practising at 11185 Lake Blvd Ste 205 in Chisago City, Minnesota. Professional Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dominique Wilson has been enumerated in the National Provider Identifier (NPI) registry since 2022.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dominique Wilson accepts. To confirm in-network status with your specific health plan, contact Dominique Wilson directly at (952) 228-3487.

Frequently asked

Yes. NPI 1083369490 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Professional Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (952) 228-3487.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dominique Wilson is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy101YP2500X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Professional Counselor providers in Minnesota.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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