Meredith Domanico, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.019456 Issued in IL

Practice address

6653 Weaver Rd Ste 112
Rockford, IL 61114-8068

Phone

(815) 201-2687

Fax

(844) 961-3413

NPI assigned

Jun 29, 2024

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Female

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.

• Riverside Counseling Center PLLC

  dba Lindsey McClanathan

  • Counselor
  • Rockford, IL
  • NPI 1952879546
  NPD

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1639914781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 WOODBERRY LN",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610087950",
            "telephone_number": "224-343-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6653 WEAVER RD STE 112",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148068",
            "telephone_number": "815-201-2687",
            "fax_number": "844-961-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANICO",
        "first_name": "MEREDITH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.019456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Doherty, LCPC
• Andrew T Doherty, PA-C
• Teresa Jeannette Doherty
• Dennis Navarro Dolleton, MD
• Crystal Dollinger
• Charlene J Donahoe, MS, LPC
• Lindsay Donaldson, L.P.C.
• Lucie Donikian, PHARM D
• Patrick Donohoo
• Betsy Joanne Donovan, LCSW, MSW

• Professional Counselor in Rockford, IL
• Providers in Rockford, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.