Dominique Correa, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18326 Issued in NC

Practice address

19901 W Catawba Ave Ste 102
Cornelius, NC 28031-4040

Phone

(804) 613-4812

NPI assigned

Jan 30, 2023

Last updated

Feb 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dominique Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southerland Treatment and Rehab(Star) Counseling&Consulting SVCS, PLLC

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1396215737
  NPD (past)

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1417663659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 FOX COVE LN APT D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274075973",
            "telephone_number": "984-244-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19901 W CATAWBA AVE STE 102",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314040",
            "telephone_number": "804-613-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "DOMINIQUE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "TAYLOR",
            "credential": "LCMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David M Cook, M.D.
• Emma Cook
• Rebecca Lynne Vigilante Cook, MSW, LCSWA
• Cool Beans Therapy Clubhouse, LLC
• Cornelius Dentistry
• Diana Ines Corrigan
• Counseling and Wellness Center of Lake Norman, PLLC
• Counseling Associates at the Lake, Inc.
• Counseling Center
• Counseling Service at Lake Norman, PLLC

• Mental Health Counselor in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.