Dominique Rene Ater, MS LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.2103239 Issued in OH

Practice address

5 Fayette Ctr
Washington Court House, OH 43160-2120

Phone

(740) 335-8228

NPI assigned

Mar 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Dominique Rene Bickel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  NPD (past)

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1811523558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 WALNUT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132226",
            "telephone_number": "740-412-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FAYETTE CTR",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431602120",
            "telephone_number": "740-335-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATER",
        "first_name": "DOMINIQUE",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "APP-000333305",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2103239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "BICKEL",
            "middle_name": "RENE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allyn'S Christian Counseling & Consultation L.L.C.
• Anew Vibe Counseling LLC
• Kia Armstrong
• Sierra Lavada Armstrong, PEER SUPPORT
• Bethany Nicole Army, OD
• Autumn Treatment Center LLC
• Autumn Treatment Center LLC
• Sandra Lynn Bach
• Hannah M Banks
• Rodney Banks

• All providers in Washington Court House, OH
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.