Active NPI
Dominika Adriana Nolan, MS, LMHC, RPT-S, NCC
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1720526726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16316
- Practice address
- 5205 Greenwood Ave
West Palm Beach, FL 33407-2400 - Phone
- (561) 244-9499
- NPI assigned
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16316 | FL | Primary |
Addresses
Primary practice location
5205 Greenwood Ave
West Palm Beach, FL 33407-2400
Mailing address
1600 SW Prosperity Way # 34990
Palm City, FL 34990-2432
Phone (561) 800-6368
Other practice location 1
945 SW Martin Downs Blvd
Palm City, FL 34990-2815
Phone (561) 800-6368
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH16316 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Child Counseling, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- West Palm Beach, FL
- NPI 1518305747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1720526726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 SW PROSPERITY WAY # 34990",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349902432",
"telephone_number": "561-800-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 GREENWOOD AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072400",
"telephone_number": "561-244-9499"
}
],
"practiceLocations": [
{
"address_1": "945 SW Martin Downs Blvd",
"address_purpose": "LOCATION",
"city": "Palm City",
"state": "FL",
"postal_code": "349902815",
"country_code": "US",
"telephone_number": "561-800-6368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLAN",
"first_name": "DOMINIKA",
"middle_name": "ADRIANA",
"credential": "MS, LMHC, RPT-S, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-09",
"last_updated": "2024-03-14",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.