Individual provider Active NPI

Dominic Ficeti, MS ED, LPCC-S

  • Mental Health Counselor
  • Struthers, OH
National Provider Identifier
1609374420
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2303845-SUPV Issued in OH
Practice address
520 Youngstown Poland Rd
Struthers, OH 44471-1103
Phone
(330) 318-3078
Fax
(234) 855-1072
NPI assigned
Jan 26, 2018
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1902114-TRNE OH
Mental Health Counselor 101YM0800X C.2103090 OH
Mental Health Counselor 101YM0800X E.2303845-SUPV OH Primary

Addresses

Primary practice location

520 Youngstown Poland Rd
Struthers, OH 44471-1103

Mailing address

2980 Belmont Ave
Youngstown, OH 44505-1834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240105001870 OH Practitioner - Mental Health Counselor 0840641643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psy-Care, Inc.Group PAC ID 9335136795, 29 clinicians

Practice addresses (Care Compare)

520 Youngstown Poland Rd
Struthers, OH 44471-1103
Phone (330) 318-3078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C.1902114-TRNEOHMDMental Health Counselor
C.2103090OHMDMental Health Counselor
E.2303845-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Psy-Care Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

520 Youngstown Poland Rd
Struthers, OH 44471
Phone (330) 318-3078

2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-0276

3040 Belmont Ave
Ste C
Youngstown, OH 44505

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1609374420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 YOUNGSTOWN POLAND RD",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444711103",
            "telephone_number": "330-318-3078",
            "fax_number": "234-855-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICETI",
        "first_name": "DOMINIC",
        "credential": "MS ED, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1902114-TRNE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103090",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303845-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Struthers, OH

Sources for this page

Verify at the official NPI Registry.