OrganizationActive
Kelly Dominic, Imft LLC
NPI 1811698657 · Community/Behavioral Health Agency · Amanda, OH
Kelly Dominic, Imft LLC is a Community/Behavioral Health Agency organization in Amanda, OH (NPI 1811698657).
Provider details
- NPI number
- 1811698657
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kelly Dominic, Marriage and Family Therapist Owner(330) 730-9511
Specialties & taxonomies
Agencies
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10955 Clearport Rd Sw
Amanda, OH 43102-9612
Phone: (330) 730-9511
Street-level locationGet directions
Mailing address
10955 Clearport Rd Sw
Amanda, OH 43102-9612
Registry dates
- Enumerated
- 2023-03-16
- Last updated
- 2023-03-16
- Certified
- 2023-03-16
Frequently asked questions
- What is Kelly Dominic, Imft LLC's NPI number?
- Kelly Dominic, Imft LLC's National Provider Identifier (NPI) is 1811698657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly Dominic, Imft LLC?
- Kelly Dominic, Imft LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Kelly Dominic, Imft LLC located?
- Kelly Dominic, Imft LLC's practice location on file with NPPES is 10955 Clearport Rd Sw, Amanda, OH 43102-9612.
- What is Kelly Dominic, Imft LLC's phone number?
- The practice phone number listed in the NPPES registry for Kelly Dominic, Imft LLC is (330) 730-9511.
- Who is the authorized official for Kelly Dominic, Imft LLC?
- The authorized official listed on Kelly Dominic, Imft LLC's NPPES record is Kelly Dominic, Marriage and Family Therapist Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly Dominic, Imft LLC's NPI active?
- Yes — Kelly Dominic, Imft LLC's NPI (1811698657) is active in the NPPES registry as of the last update on 2023-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.