Dominick S Berg, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

990 S Prospect St Ste 3
Marion, OH 43302-6283

Phone

(740) 383-7910

Fax

(740) 375-5834

NPI assigned

Mar 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Third Street Community Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Marion, OH
  • NPI 1861170565
  Medicare reassignment NPD
• Third Street Community Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Bucyrus, OH
  • NPI 1669158838
  Medicare reassignment NPD
• Third Street Community Clinic, Inc

  • Community/Retail Pharmacy
  • Mansfield, OH
  • NPI 1497485973
  NPD

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1932525201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 S PROSPECT ST STE 3",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026283",
            "telephone_number": "740-383-7910",
            "fax_number": "740-375-5834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 Park Ave W Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "449062719",
            "country_code": "US",
            "telephone_number": "419-522-6191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Executive Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433026310",
            "country_code": "US",
            "telephone_number": "740-387-5210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "DOMINICK",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-11",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297823",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dberg1172960@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "Marion Area Physicians LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "990 S Prospect St Ste 3",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433026283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aliyah Nicole Bennett
• Thomas W Bennett I, CDCA PRELIMINARY
• Tory Bennett
• Christie Rachelle Benson, LPN
• Jon Carter Benson, PA-C
• Bobbi Kay Bernstiel, QMHS CMS
• Bari Joan Bett, MD
• Gargey Bhatt, RPH
• Shyamala Deepti Bheemisetty, M.D
• Arvinder S Bhinder, M.D.

• Professional Counselor in Marion, OH
• Providers in Marion, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.