Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Domenica Doro

Individual provider Professional Counselor · NPI 1194485722

Domenica Doro is a Mental Health Counselor in Crystal Lake, Illinois. Qualified in 2021, 5 years ago. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
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Practice location Address checks out

475 W Terra Cotta Ave Ste E
Crystal Lake, IL 60014-3407
Phone: (815) 707-4806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178.016997 (IL)

Record details

NPI number1194485722
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2021
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021
Mailing address2821 Forestview Ct, Carpentersville, IL 60110-3378

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Crystal Lake