Tannia Carolina Dominguez, MA, LPC
Counselor, Mental Health in Iselin, NJ. Individual provider (NPI-1).
NPI number1366324972
StatusActive
Last updated in NPPESJul 24, 2025
Details
- NPI
- 1366324972
- Entity type
- Individual (NPI-1)
- Name
- Tannia Carolina Dominguez
- Credential
- MA, LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2025
- Certification date
- Jul 24, 2025
- Last updated
- Jul 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 37PC00957600 | NJ | Yes |
Practice location
2 Bradford PlIselin, NJ 08830-1328
Phone 908-930-8617
Mailing address
2 Bradford PlIselin, NJ 08830-1328
Phone 908-930-8617
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Mental Health Counselor providers in Iselin · All 433 providers in Iselin
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