1. Home
  2. Directory
  3. Pennsylvania
  4. Reading
  5. Counselor
  6. NPI Profile

AMBER RENEE DOMINIK
NPI 1861062903
Counselor in Reading, PA

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: November 08, 2026.

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

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 maintains a secondary practice location in Reading.

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
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
Open in Google Maps ↗

Other Names 1

Former Name (1)Amber Nikolaus

Secondary Practice Location 1

Location 11800 N 12th StReading, PA 19604-1545 · Phone (610) 816-5728

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber Renee Dominik 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Amber Dominik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Soaring Mantis Counseling LLC
1.4 mi
Counselor
122 W LANCASTER AVE STE 205
Reading, PA 19607
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1205794138 (484) 509-1413
Haven Behavioral Services Of Reading, LLC
1.9 mi
Psychiatric Hospital
145 N 6TH ST
Reading, PA 19601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 48 clinicians in this Medicare group
NPI 1629384292 (610) 406-4340
Grow Healthcare Group PA
1,032 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 833 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
516 KENHORST BLVD
READING, PA 19611
Berks County (610) 775-7756
AUDREY SNYDER
Marriage & Family Therapist
516 KENHORST BLVD
READING, PA 19611
Berks County (610) 827-5935
ASHLEY CASSANDRA KAHN MS, MED, LAPC
Counselor
516 KENHORST BLVD
READING, PA 19611
Berks County (610) 827-5935
CONTINUUM COUNSELING AND CLINICAL SERVICES
Counselor (Professional)
516 KENHORST BLVD
READING, PA 19611
Berks County (610) 827-5935
RENEE S DONOVAN LMFT
Marriage & Family Therapist
516 KENHORST BLVD
READING, PA 19611
Berks County (610) 777-0705
MS. BARBARA ANN SIMPSON LCSW
Social Worker (Clinical)
516 KENHORST BLVD
READING, PA 19611
Berks County (610) 777-0705

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 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.

Where is Amber Dominik located?

Amber Dominik practices at 516 Kenhorst Blvd, Reading, PA 19611. The listed phone number is (610) 827-5935.

What is Amber Dominik's specialty?

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

Is Amber Dominik enrolled in Medicare?

Yes. Amber Dominik is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amber Dominik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Dominik reassigns Medicare benefits to 3 organizations: Soaring Mantis Counseling LLC (Reading, PA), Haven Behavioral Services Of Reading, LLC (Reading, PA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amber Dominik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 15 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.