MRS. DOMINI MARIE JOHNSON M.S. LCPC NCCCDVP NPI 1659609121

NPI Information

  • NPI: 1659609121
  • Provider Name: MRS. DOMINI MARIE JOHNSON, M.S., LCPC, NCC,CDVP
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16417 EVANS AVE
    SOUTH HOLLAND, IL
    ZIP 60473
  • Phone: (708) 362-3916

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NPI Details

MRS. Domini Marie Johnson, M.S., LCPC, NCC,CDVP is a professional counselor in South Holland, IL with 26 years of experience. MRS. Domini Marie Johnson, M.S., LCPC, NCC,CDVP NPI is 1659609121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16417 EVANS AVE
SOUTH HOLLAND, IL
ZIP 60473-350
Phone: (708) 362-3916

The NPI 1659609121 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/22/2009 and was last updated on 4/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional180004580ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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