Individual provider Active NPI

Dominika Adriana Nolan, MS, LMHC, RPT-S, NCC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1720526726
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16316 Issued in FL
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

Updated by the provider on Mar 14, 2024

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 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

LicenseStateTypeSpecialty
MH16316FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Child Counseling, Inc PastSince Apr 20, 2021 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.

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.

Verify at the official NPI Registry.