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MISS ANDREA LYNN DOMINICK LPCC-S, LICDC
NPI 1235266743
Counselor - Mental Health in Dover, OH

Active since February 28, 2007PECOS Enrolled
205 HOSPITAL DR, DOVER, OH 44622(330) 343-7950 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Andrea Lynn Dominick Lpcc-s, Licdc NPPES

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

MISS ANDREA LYNN DOMINICK LPCC-S, LICDC (NPI 1235266743) is an individual mental health provider in Dover, Ohio, licensed in Ohio (E.0600629 SUPV) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235266743
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS ANDREA LYNN DOMINICKCredential: LPCC-S, LICDC
Location Address205 HOSPITAL DRDover, OH 44622-2058
Mailing Address659 Boulevard StDover, OH 44622-2026 · (330) 343-3311
Phone(330) 343-7950
Sole ProprietorNo
Enumeration DateFebruary 28, 2007
Last NPPES UpdateMay 20, 2020
NPPES CertifiedMay 20, 2020
✔ NPI 1235266743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E.0600629 SUPV
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 111001 (OH)
205 HOSPITAL DR, Dover, OH 44622
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Andrea Lynn Dominick Lpcc-s, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrea Dominick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Springvale Health Centers, Inc
0.1 mi
Mental Health
201 HOSPITAL DR
Dover, OH 44622
  • Reassigned Medicare billing, Ohio enrollment
  • 16 clinicians in this Medicare group
NPI 1477508406 (330) 343-6631
Coleman Professional Services, Inc.
20 mi
Community/Behavioral Health
400 TUSCARAWAS ST W, SUITE 200
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 187 clinicians in this Medicare group
NPI 1134296213 (330) 438-2400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

SCOTT F HOLDER MD
Orthopaedic Surgery
205 HOSPITAL DR
DOVER, OH 44622
Tuscarawas County (330) 343-3335
THOMAS LESLIE TEATER MD
Orthopaedic Surgery (Hand Surgery)
205 HOSPITAL DR
DOVER, OH 44622
Tuscarawas County (330) 343-3335
DARRIN J KUCZYNSKI MD
Orthopaedic Surgery
205 HOSPITAL DR
DOVER, OH 44622
Tuscarawas County (330) 343-3335
PAUL W MCFADDEN MD
Family Medicine
205 HOSPITAL DR
DOVER, OH 44622
Tuscarawas County (330) 343-7950
MASON PAGE
Family Medicine
205 HOSPITAL DR
DOVER, OH 44622
Tuscarawas County (330) 343-7950
DOVER ORTHOPAEDIC CENTER, INC
Orthopaedic Surgery
205 HOSPITAL DR
DOVER, OH 44622
Tuscarawas County (330) 343-3335

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 Dominick's NPI number?

The NPI number for Andrea Dominick is 1235266743. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Andrea Dominick located?

Andrea Dominick practices at 205 Hospital Dr, Dover, OH 44622. The listed phone number is (330) 343-7950.

What is Andrea Dominick's specialty?

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

Is Andrea Dominick enrolled in Medicare?

Yes. Andrea Dominick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Dominick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Dominick reassigns Medicare benefits to 2 organizations: Springvale Health Centers, Inc (Dover, OH) and Coleman Professional Services, Inc. (Canton, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Dominick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Dominick accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Andrea Dominick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Dominick was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.