Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Domini Marie Johnson, MS, LCPC, NCC, CDVP

Individual provider Professional Counselor · NPI 1659609121

Mrs. Domini Marie Johnson, MS, LCPC, NCC, CDVP is a Mental Health Counselor in South Holland, Illinois. Qualified in 1999, 27 years ago. Practices with Erie Family Health Center, Inc, a 142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

16417 Evans Ave
South Holland, IL 60473-2350
Phone: (708) 362-3916
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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 180004580 (IL)

Record details

NPI number1659609121
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LCPC , NCC , CDVP
Sole proprietorYes
NPI enumeratedNovember 22, 2009
Last updated in NPPESApril 11, 2012

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Erie Family Health Center, Inc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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