Dominique McIntosh, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC01265500 Issued in NJ

Practice address

211 Broad St Ste 207
Red Bank, NJ 07701-2009

Phone

(630) 974-6602

Fax

(630) 487-2411

NPI assigned

Sep 29, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• TMS Clinical Services of New Jersey LLC

  • Psychiatry Physician
  • Warren, NJ
  • NPI 1700469160
  NPD

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1861272643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232219",
            "telephone_number": "630-974-6602",
            "fax_number": "630-487-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BROAD ST STE 207",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012009",
            "telephone_number": "630-974-6602",
            "fax_number": "630-487-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "DOMINIQUE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01265500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Elizabeth McDermott, LPC
• Pegeen Anne McGreal, RN, MSN,CPNP
• Marisa Devito McGuire, LCSW
• Dina Arjoumandi McHeffey, M.D., M.B.A.
• Emily McInerney
• Amy Koontz McKeown, NP
• Andrea L McKie, MS, LCADC
• Andrew McKillop, MS, LAC, NBCC, MBPSS
• John Joseph McLaughlin, PT
• MCM PT Service

• Mental Health Counselor in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.