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

Mary Ann Dom, LPC

Individual provider Mental Health Counselor · NPI 1356507586

Mary Ann Dom, LPC is a Mental Health Counselor in Leon Valley, Texas. Qualified in 1991, 35 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
35
Licensed in
TX
In the registry since
2008
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

6502 Bandera Rd Ste 202
Leon Valley, TX 78238-1454
Phone: (210) 488-0384
Fax: (210) 941-0682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 12359 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 12359 (TX)
Counselor Taxonomy 101Y00000X · Licence 12359 (TX)

Record details

NPI number1356507586
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 7, 2008
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Not indicated