Individual provider Active NPI

Dominic Jontony, LPCC

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1013306505
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1800803 Issued in OH
Practice address
1565 Bethel Rd
Columbus, OH 43220
Phone
(614) 459-3003
NPI assigned
Jan 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.1300589 OH
Professional Counselor 101YP2500X E.1800803 OH Primary

Addresses

Primary practice location

1565 Bethel Rd
Columbus, OH 43220

Mailing address

1565 Bethel Rd
Columbus, OH 43220-2005
Phone (614) 459-3003

Other practice location 1

1115 Bethel Rd
Columbus, OH 43220-2690
Phone (614) 459-3003 ext. 724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.1300589OHMDProfessional Counselor
E.1800803OHMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1013306505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202005",
            "telephone_number": "614-459-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43220",
            "telephone_number": "614-459-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Bethel Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432202690",
            "country_code": "US",
            "telephone_number": "614-459-3003 x724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONTONY",
        "first_name": "DOMINIC",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-21",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1300589",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.