Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Andrea Lynn Dominick, LPCC-S, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1235266743

Miss. Andrea Lynn Dominick, LPCC-S, LICDC is a Mental Health Counselor in Dover, Ohio. Qualified in 2007, 19 years ago. Practices with Coleman Professional Services, Inc, a 63-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
19
Licensed in
OH
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

205 Hospital Dr
Dover, OH 44622-2058
Phone: (330) 343-7950
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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 E.0600629 SUPV (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 111001 (OH)

Record details

NPI number1235266743
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC-S , LICDC
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Coleman Professional Services, Inc. — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dover