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ROSELANDE DOMOND LPC
NPI 1366847444
Counselor - Professional in Fayetteville, GA

Active since October 30, 2014PECOS Enrolled
135 BRADFORD SQ STE B, FAYETTEVILLE, GA 30215(678) 886-9112(404) 900-9088 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2020, Jul 9, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Roselande Domond Lpc NPPES

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

ROSELANDE DOMOND LPC (NPI 1366847444) is an individual professional provider in Fayetteville, Georgia, licensed in Georgia (LPC007883) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366847444
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameROSELANDE DOMONDCredential: LPC
Location Address135 BRADFORD SQ STE BFayetteville, GA 30215-1902
Mailing Address11658 Kades TrlHampton, GA 30228-4012 · (678) 886-9112
Phone(678) 886-9112
Fax(404) 900-9088
Sole ProprietorYes
Enumeration DateOctober 30, 2014
Last NPPES UpdateJune 29, 20205 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
✔ NPI 1366847444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC007883
135 BRADFORD SQ STE B, Fayetteville, GA 30215
Open in Google Maps ↗

Other Identifiers 1

Medicaid003169295AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roselande Domond Lpc 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.

Other Providers at the Same Location NPPES 4

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

TIANNA COSIMA CROOKS NP
Nurse Practitioner (Psychiatric/Mental Health)
135 BRADFORD SQ STE B
FAYETTEVILLE, GA 30215
Fayette County (470) 646-3738
MINDSET HEALTHCARE, PC
Nurse Practitioner (Psychiatric/Mental Health)
135 BRADFORD SQ STE B
FAYETTEVILLE, GA 30215
Fayette County (470) 646-3738
DIAMOND COUNSELING AND COACHING, LLC
Counselor (Professional)
135 BRADFORD SQ STE B
FAYETTEVILLE, GA 30215
Fayette County (678) 886-9112
SOLACIUM LIVING, LLC
Nursing Care
135 BRADFORD SQ STE B
FAYETTEVILLE, GA 30215
Fayette County (417) 652-2486

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 Roselande Domond's NPI number?

The NPI number for Roselande Domond is 1366847444. It was assigned to this individual provider in the NPPES registry on October 30, 2014.

Where is Roselande Domond located?

Roselande Domond practices at 135 Bradford Sq Ste B, Fayetteville, GA 30215. The listed phone number is (678) 886-9112.

What is Roselande Domond's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Roselande Domond enrolled in Medicare?

Yes. Roselande Domond is registered in the Medicare PECOS enrollment system.

What insurance does Roselande Domond accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Roselande Domond 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 Roselande Domond was last updated on June 29, 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.