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KELLY JEANNE DOMINIC LCPC
NPI 1427507557
Counselor - Mental Health in Millersville, MD

Active since September 30, 2016PECOS EnrolledAccepts Medicare Assignment
1114 BENFIELD BLVD STE G, MILLERSVILLE, MD 21108(443) 386-4928 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Jeanne Dominic Lcpc NPPES

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

KELLY JEANNE DOMINIC LCPC (NPI 1427507557) is an individual mental health provider in Millersville, Maryland, licensed in Maryland (LC3062) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1427507557
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY JEANNE DOMINICCredential: LCPC
Location Address1114 BENFIELD BLVD STE GMillersville, MD 21108-2589
Mailing Address1114 Benfield Blvd Ste GMillersville, MD 21108-2589 · (443) 386-4928
Phone(443) 386-4928
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 30, 2016
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1427507557 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 MD · LC3062
1114 BENFIELD BLVD STE G, Millersville, MD 21108
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Other Names 1

Former Name (1)Kelly Jeanne Councill Lcpc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Jeanne Dominic Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335570118
PECOS Enrollment IDI20260217001592
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 20

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

TRACEY LETOURNEAU LMSW
Social Worker
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108
Anne Arundel County (443) 591-6418
ALISON JONES LCSW-C
Social Worker (Clinical)
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108
Anne Arundel County (410) 780-5203
MISS ALEXIS L. BOWEN LGPC, NCC
Counselor (Mental Health)
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108
Anne Arundel County (443) 841-9502
VERONICA VICTORIA WEISS LGMFT
Marriage & Family Therapist
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108
Anne Arundel County (410) 780-5203
DEBORAH DORSEY GUNDRY LCSWC
Social Worker (Clinical)
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108
Anne Arundel County (410) 780-5203
MONIQUE MACKELL LMSW
Social Worker
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108
Anne Arundel County (410) 709-6488
IDA JOHNSON
Social Worker (Clinical)
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108
Anne Arundel County (410) 780-5203
NICOLE BEARD
Counselor (Mental Health)
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108
Anne Arundel County (410) 780-5203

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 Kelly Dominic's NPI number?

The NPI number for Kelly Dominic is 1427507557. It was assigned to this individual provider in the NPPES registry on September 30, 2016. The provider is also known as Kelly Jeanne Councill Lcpc.

Where is Kelly Dominic located?

Kelly Dominic practices at 1114 Benfield Blvd Ste G, Millersville, MD 21108. The listed phone number is (443) 386-4928.

What is Kelly Dominic's specialty?

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

Is Kelly Dominic enrolled in Medicare?

Yes. Kelly Dominic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Dominic was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.