Active NPI
Nathaniel James Dominy
- Mental Health Counselor
- Richmond, VA
National Provider Identifier
1265310817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0734013814
- Practice address
- 2006 Bremo Rd Ste 101
Richmond, VA 23226-2438 - Phone
- (804) 918-1115
- NPI assigned
- Aug 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0734013814 | VA | Primary |
Addresses
Primary practice location
2006 Bremo Rd Ste 101
Richmond, VA 23226-2438
Mailing address
1317 N 34TH St
Richmond, VA 23223-6836
Phone (703) 507-2262
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0734013814 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1265310817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 N 34TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232236836",
"telephone_number": "703-507-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 BREMO RD STE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262438",
"telephone_number": "804-918-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINY",
"first_name": "NATHANIEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0734013814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.