Mary Ann Dom, LPC is a medicare enrolled "Counselor - Professional" provider in Leon Valley, Texas. She graduated from healthcare school in 1991 and has 35 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
6502 Bandera Rd Ste 202, Leon Valley, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 488-0384.
Mary Ann Dom is licensed to practice in Texas (license number 12359) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1356507586.
Healthcare Provider's Profile
| Full Name | Mary Ann Dom |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 35 Years |
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| Location | 6502 Bandera Rd Ste 202, Leon Valley, Texas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Ann Dom graduated from medical school in 1991
NPI Data:
- NPI Number: 1356507586
- Provider Enumeration Date: 08/07/2008
- Last Update Date: 06/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 7517438419
- Enrollment ID: I20260602000543
Medical Identifiers
Medical identifiers for Mary Ann Dom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356507586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 12359 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 12359 (Texas) | Primary |
| 101Y00000X | Counselor | 12359 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Ann Dom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Ann Dom, LPC
2186 Jackson Keller Rd Ste 2134,
San Antonio, TX 78213-2723
Ph: (210) 488-0384 | Mary Ann Dom, LPC
6502 Bandera Rd Ste 202,
Leon Valley, TX 78238-1454
Ph: (210) 488-0384 |
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