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MRS. DEBRA MARIE DOMINCZAK LPC IT
NPI 1821337601
Counselor - Mental Health in Menasha, WI

Active since February 13, 2013
1478 KENWOOD DR STE 1, MENASHA, WI 54952(920) 886-9319(920) 886-9357 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Debra Marie Dominczak Lpc It NPPES

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

MRS. DEBRA MARIE DOMINCZAK LPC IT (NPI 1821337601) is an individual mental health provider in Menasha, Wisconsin, licensed in Wisconsin (1440-226) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1821337601
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. DEBRA MARIE DOMINCZAKCredential: LPC IT
Location Address1478 KENWOOD DR STE 1Menasha, WI 54952-1161
Mailing AddressN6781 Harrison RdHilbert, WI 54129-9262 · (920) 989-2370
Phone(920) 886-9319
Fax(920) 886-9357
Sole ProprietorNo
Enumeration DateFebruary 13, 2013
✔ NPI 1821337601 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 WI · 1440-226
1478 KENWOOD DR STE 1, Menasha, WI 54952
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Other Providers at the Same Location NPPES 10

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

KAYCI LORENZ
Counselor (Professional)
1478 KENWOOD DR STE 1
MENASHA, WI 54952
Calumet County (920) 886-9319
MRS. DEBRA KLINE LCPC, LPC
Counselor (Mental Health)
1478 KENWOOD DR STE 1
MENASHA, WI 54952
Calumet County (920) 886-9319
PA HOUA THAO XIONG MSE, LPC-IT
Counselor (Professional)
1478 KENWOOD DR STE 1
MENASHA, WI 54952
Calumet County (920) 886-9319
TINA GROESCHEL APSW
Social Worker (Clinical)
1478 KENWOOD DR STE 1
MENASHA, WI 54952
Calumet County (920) 886-9319
CHAD THOMAS LORGE MSE, NCC
Counselor (Professional)
1478 KENWOOD DR STE 1
MENASHA, WI 54952
Calumet County (920) 886-9319
CATALINA DE LUNA LPC-IT, MSE
Counselor (Mental Health)
1478 KENWOOD DR STE 1
MENASHA, WI 54952
Calumet County (920) 886-9319
ELYSABETH MEEHAN APSW
Social Worker (Clinical)
1478 KENWOOD DR STE 1
MENASHA, WI 54952
Calumet County (920) 886-9319
CRYSTAL LUDWIG APSW, MSSW
Counselor (Mental Health)
1478 KENWOOD DR STE 1
MENASHA, WI 54952
Calumet County (920) 886-9319

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 Debra Dominczak's NPI number?

The NPI number for Debra Dominczak is 1821337601. It was assigned to this individual provider in the NPPES registry on February 13, 2013.

Where is Debra Dominczak located?

Debra Dominczak practices at 1478 Kenwood Dr Ste 1, Menasha, WI 54952. The listed phone number is (920) 886-9319.

What is Debra Dominczak'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 Debra Dominczak was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.