Samara Domanski, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16379 Issued in NC

Practice address

727 Eastowne Dr
Chapel Hill, NC 27514-2214

Phone

(919) 200-0763

NPI assigned

Mar 16, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Lifeologie Counseling Raleigh, PLLC

  dba Lifeologie Counseling Raleigh

  • Counselor
  • Raleigh, NC
  • NPI 1144750563
  NPD
• David Young Oh, LLC

  dba Radical Healing Arts, LLC

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1386175602

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1447835939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 FERNANDO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032510",
            "telephone_number": "919-999-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 EASTOWNE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142214",
            "telephone_number": "919-200-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANSKI",
        "first_name": "SAMARA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samarab@wefixbrains.com",
            "affiliation": "N",
            "address_1": "3901 Barrett Dr Ste 100",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276096523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Dodge-Smith, LCSW
• Laura Dodson
• Diane R. Dolan-Soto, MSW, LCSW
• Christina Teeter Doligalski, PHARMD
• Daniel Albert Dolinski, DO
• Lisa M. Domby, SLP
• Julia Brossa Fabricio Donahue, PHARMD
• Katrina E Donahue, MD
• Jeffrey Hugh Donaldson, M.D.
• Scott H Donaldson, MD

• Mental Health Counselor in Chapel Hill, NC
• Providers in Chapel Hill, 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 Nov 6, 2024; 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.