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

Individual provider Mental Health Counselor · NPI 1427507557

Kelly Jeanne Dominic, LCPC is a Mental Health Counselor in Millersville, Maryland. Qualified in 2004, 22 years ago. Practices with Thrive Behavioral Health, LLC, a 59-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
22
Licensed in
MD
In the registry since
2016
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1114 Benfield Blvd Ste G
Millersville, MD 21108-2589
Phone: (443) 386-4928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LC3062 (MD)

Record details

NPI number1427507557
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedSeptember 30, 2016
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Thrive Behavioral Health, Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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