Karen Dominick, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

17-907 Issued in WV

Practice address

118 Warren Ave
Beckley, WV 25801-6950

Phone

(304) 860-0618

NPI assigned

Jun 2, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1700525268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WARREN AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016950",
            "telephone_number": "304-305-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WARREN AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016950",
            "telephone_number": "304-860-0618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Virginia St E Ste 400",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253012111",
            "country_code": "US",
            "telephone_number": "304-206-3784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINICK",
        "first_name": "KAREN",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "17-907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dominickk@aetna.com",
            "affiliation": "N",
            "endpointDescription": "business work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "500 Virginia St E Ste 400",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253012111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Louisa Dodson
• Robin Michele Dolan, MASTERS OF EDUCATION
• Angela Dolganiuc, M.D.
• Michelle Erika Dolph-Burgess, PROVISIONALLY LICENS
• Joshua Dominguez
• Tasheena Renee Donell, LPC
• Donna Murray Counseling LLC
• Darla Ann Doran
• Dalton Lee Dorman
• Jessica Dorman, PRSS

• Peer Specialist in Beckley, WV
• Providers in Beckley, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.