Individual provider Active NPI

Dominique Driessen-Espana, LCSW

  • Professional Counselor
  • Savannah, GA
National Provider Identifier
1598036600
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
006663 Issued in GA
Practice address
7370 Memorial Drive
Suite E-10
Savannah, GA 31406
Phone
(843) 422-5290
NPI assigned
Jan 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 006663 GA Primary

Addresses

Primary practice location

7370 Memorial Drive
Suite E-10
Savannah, GA 31406

Mailing address

208 Mitcheville Road
Hilton Head, SC 29926
Phone (843) 422-5290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251121002429 IN Practitioner - Clinical Social Worker 5698267243 Reassigns benefits to 1 organization
I20251124001696 SC Practitioner - Mental Health Counselor 5698267243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

208 Mitchellville Rd
Hilton Head Island, SC 29926-2820

27 Randolph Rd
Howell, NJ 07731-8611

3540 Pump Rd
Suite 1188
Richmond, VA 23233-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010-RGAMDAddiction (Substance Use Disorder) Counselor
006663GAMDProfessional Counselor
34012095AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holon Health Great Lakes, P.C. CurrentSince Sep 18, 2025 Accepting new patients
Supportive Care of South Carolina LLC Clinical CurrentSince Oct 1, 2025 Accepting new patients
Holon Health, Inc. PastSince Sep 18, 2025 Accepting new patients

Locations

675 Justice Way
Indianapolis, IN 46203
Phone (317) 327-1700

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

3540 Pump Rd
Richmond, VA 23233
Phone (804) 404-6270

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1598036600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MITCHEVILLE ROAD",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "29926",
            "telephone_number": "843-422-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7370 MEMORIAL DRIVE",
            "address_2": "SUITE E-10",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31406",
            "telephone_number": "843-422-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIESSEN-ESPANA",
        "first_name": "DOMINIQUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "006663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.