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ANDREA R DOMENICO
NPI 1174078885
Counselor - Mental Health in Manchester, NH

Active since August 23, 2016
1361 ELM ST STE 400, MANCHESTER, NH 03101(603) 232-6987 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea R Domenico NPPES

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

ANDREA R DOMENICO (NPI 1174078885) is an individual mental health provider in Manchester, New Hampshire, licensed in New Hampshire (1205) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1174078885
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDREA R DOMENICO
Location Address1361 ELM ST STE 400Manchester, NH 03101-1323
Mailing Address11 Clear Creek WayManchester, NH 03102-8462 · (603) 793-8029
Phone(603) 232-6987
Sole ProprietorNo
Enumeration DateAugust 23, 2016
✔ NPI 1174078885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NH · 1205
1361 ELM ST STE 400, Manchester, NH 03101
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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 Andrea Domenico's NPI number?

The NPI number for Andrea Domenico is 1174078885. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Where is Andrea Domenico located?

Andrea Domenico practices at 1361 Elm St Ste 400, Manchester, NH 03101. The listed phone number is (603) 232-6987.

What is Andrea Domenico's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Andrea Domenico was last updated on August 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.