AMBER RENEE DOMINIK
NPI 1861062903
Counselor in Reading, PA

Q: What is Amber Dominik's NPI number?

The NPI number for Amber Dominik is 1861062903. It was assigned to this individual provider in the NPPES registry on June 30, 2021. The provider is also known as Amber Nikolaus.

Q: What is Amber Dominik's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Amber Dominik was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 30, 2021PECOS Enrolled

516 KENHORST BLVD, READING, PA 19611(610) 827-5935 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2025, Aug 4, 2025, May 31, 2025 and 1 more (4 updates tracked since 2021).

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About Amber Renee Dominik NPPES

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

AMBER RENEE DOMINIK (NPI 1861062903) is an individual counselor in Reading, Pennsylvania, licensed in Pennsylvania (APC000795) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861062903

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameAMBER RENEE DOMINIK

Location Address516 KENHORST BLVDReading, PA 19611-1716

Mailing Address45 Wesleyan DriveReading, PA 19607-2211 · (717) 669-7349

Phone(610) 827-5935

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 30, 2021

Last NPPES UpdateAugust 11, 20254 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1861062903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in PA · APC000795

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PC018997 (PA)

516 KENHORST BLVD, Reading, PA 19611

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Other Names 1

Former Name (1)Amber Nikolaus

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber Renee Dominik is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234638362

PECOS Enrollment IDI20250815003584

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 6

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

SUE A. FREEMAN MA, L.PSYCH., LPC

Counselor (Mental Health)