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ANTHONY DOMENICK
NPI 1306525233
Counselor - Addiction (Substance Use Disorder) in Warren, OH

Active since July 17, 2023
1212 TOD PL NW, WARREN, OH 44485(330) 469-6822(330) 294-5641 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2024, Jul 17, 2023 (2 updates tracked since 2023).

About Anthony Domenick NPPES

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

ANTHONY DOMENICK (NPI 1306525233) is an individual addiction (substance use disorder) provider in Warren, Ohio, licensed in Ohio (CDCA.189692) and active in the NPI registry since July 2023. He maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1306525233
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANTHONY DOMENICK
Location Address1212 TOD PL NWWarren, OH 44485-2475
Mailing AddressPo Box 1212Warren, OH 44482-1212 · (330) 469-6822 · Fax (330) 294-5641
Phone(330) 469-6822
Fax(330) 294-5641
Sole ProprietorYes
Enumeration DateJuly 17, 2023
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1306525233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.189692
Also ListedPeer SpecialistTaxonomy 175T00000X · License APS.005338 (OH)
1212 TOD PL NW, Warren, OH 44485
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Secondary Practice Location 1

Location 12430 Parkman Rd NWWarren, OH 44485-1777 · Phone (330) 469-6822 · Fax (330) 294-5641

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.

KURT JASON ECKENRODE CPRS
Peer Specialist
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822
BRADLEY BOGGS CPRS
Peer Specialist
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (216) 777-9303
JAMES L SHIVELY II CDCA
Counselor (Addiction (Substance Use Disorder))
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822
DAVID F LACHOWSKI CDCA
Counselor (Addiction (Substance Use Disorder))
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822
DAVID J MCWILLIAMS CDCA
Counselor (Addiction (Substance Use Disorder))
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822
FRANK KOTSOL CPRS
Peer Specialist
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822
COLE MYERS
Counselor (Addiction (Substance Use Disorder))
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822
JAMIE HAMNER
Counselor (Addiction (Substance Use Disorder))
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822

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 Anthony Domenick's NPI number?

The NPI number for Anthony Domenick is 1306525233. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Anthony Domenick located?

Anthony Domenick practices at 1212 Tod Pl NW, Warren, OH 44485. The listed phone number is (330) 469-6822.

What is Anthony Domenick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Anthony Domenick was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.