Active NPI
Dominique Driessen-Espana, LCSW
- Professional Counselor
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 006663
- 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
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 |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2010-R | GA | MD | Addiction (Substance Use Disorder) Counselor |
| 006663 | GA | MD | Professional Counselor |
| 34012095A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holon Health Great Lakes, P.C. | Current | Accepting new patients | |
| Supportive Care of South Carolina LLC | Clinical | Current | Accepting new patients |
| Holon Health, Inc. | Past | 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.
-
- Clinical Psychologist
- Mt Pleasant, SC
- NPI 1417681412
-
- Addiction Medicine (Preventive Medicine) Physician
- Elizabethtown, KY
- NPI 1942902093
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.