Dominick Anthony Rendina, LAPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC001760 Issued in PA

Practice address

121 Moosic Rd
Old Forge, PA 18518-2082

Phone

(570) 324-8434

Fax

(570) 299-2521

NPI assigned

Oct 15, 2025

Last updated

Nov 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• Tiffany Griffiths Psy D & Associates Inc

  • Clinical Psychologist
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  • NPI 1649507831

  Professional

  NPD

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1508732637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 WYOMING AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431434",
            "telephone_number": "570-342-8434",
            "fax_number": "570-299-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MOOSIC RD",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185182082",
            "telephone_number": "570-324-8434",
            "fax_number": "570-299-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDINA",
        "first_name": "DOMINICK",
        "middle_name": "ANTHONY",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "APC001760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 01188)
• Physical Therapy Associates of Northeast Pennsylvania Inc
• Bernard Joseph Povanda, PT
• Rebecca Eileen Reed, MS RDN CNSC LDN
• Renal Life Link Inc (Old Forge Dialysis)
• Matthew Renzi
• Rer Nutrition
• James E Richards, MPT
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01021)
• Shaina A. Rivera Canino

• Professional Counselor in Old Forge, PA
• Providers in Old Forge, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.