Individual provider Active NPI

Steven Bernard Domienik, MA, LPCC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1689639809
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0003848 Issued in OH
Practice address
205 W 4TH St
Cincinnati, OH 45202-4812
Phone
(513) 582-6834
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E0003848 OH Primary

Addresses

Primary practice location

205 W 4TH St
Cincinnati, OH 45202-4812

Mailing address

6803 Bantry Ave
Cincinnati, OH 45213-1133
Phone (513) 631-2289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E0003848OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689639809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 BANTRY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452131133",
            "telephone_number": "513-631-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 4TH ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024812",
            "telephone_number": "513-582-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMIENIK",
        "first_name": "STEVEN",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0003848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.