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ROSE MARIE DOMNICK
NPI 1104417054
Counselor in Bethel, AK

Active since February 02, 2021
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559(907) 543-6100 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rose Marie Domnick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE MARIE DOMNICK (NPI 1104417054) is an individual counselor in Bethel, Alaska and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1104417054
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameROSE MARIE DOMNICK
Location Address700 CHIEF EDDIE HOFFMAN HIGHWAYBethel, AK 99559
Mailing AddressPo Box 287Bethel, AK 99559-0287 · (907) 543-6738
Phone(907) 543-6100
Sole ProprietorNo
Enumeration DateFebruary 2, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1104417054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
700 CHIEF EDDIE HOFFMAN HIGHWAY, Bethel, AK 99559
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Other Identifiers 1

Medicaid1020986AK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAY PRUNES
Day Training/Habilitation Specialist
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
JIMMY J. JIMMY
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
WYNDI RACHELE ADAMS R.T.(R)
Radiologic Technologist (Radiography)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6000
DAREK NORATAK
Day Training/Habilitation Specialist
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
FREIDA SERGIE
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
MS. PHYLLIS ANNETTE COYLE RD, LD
Dietitian, Registered
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
HANNAH OWEN
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
KATHLEEN WASSILLIE
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Domnick's NPI number?

The NPI number for Rose Domnick is 1104417054. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Rose Domnick located?

Rose Domnick practices at 700 Chief Eddie Hoffman Highway, Bethel, AK 99559. The listed phone number is (907) 543-6100.

What is Rose Domnick's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Rose Domnick was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.