Domonique Blackmon, M.S., LPCA
Domonique Blackmon, M.S., LPCA is a Professional Counselor in Raleigh, NC, registered under NPI 1770963597.
Getting there
The practice address on file is 1708 TRAWICK RD SUITE 101, Raleigh, NC 27604. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A11622 | NC | Professional Counselor primary |
This provider holds licence A11622 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Mental Health Counselor
- PAC ID
- 2163952052
- Enrollment ID
- I20250206003293
Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Professional covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1770963597 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 6, 2015 |
| Last updated | Jun 6, 2015 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | M.S., LPCA |
| Practice address |
1708 TRAWICK RD SUITE 101 Raleigh, NC 27604 (919) 896-7536 Fax (919) 896-7537 |
| Mailing address |
2816 VANSTORY ST Greensboro, NC 27407 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 7 | 0 | 9 | 6 | 3 | 5 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 5 | 0 | 9 | 6 | 6 | 5 | 9 |
Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.