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Active NPI 1356207294 Individual Practitioner Female Practitioner

Domminique Andrea Kinnie , LPC

Counselor • Champaign, IL

Professional Overview & Biography Verified Profile Summary

Domminique Kinnie, LPC is a registered healthcare professional specializing in Counselor in Champaign, IL. Practice services are available at 313 N MATTIS AVE STE 209 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

313 N Mattis Ave Ste 209

Champaign, IL 618212461

Telephone 2173770299
Associated Practice Facility / Clinic
🏢 Kc Counseling, Llc Facility NPI 1184412827

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Champaign, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
49 Specialists

Practicing in Champaign, IL (3897 Statewide)

Telehealth Adoption Rate
6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-06
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License IL 178.021280

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Michelle Krieger , LPC

Counselor - Mental Health

NPI 1356120315

Licensed Professional Counselor

Kimberly Byckowski

Social Worker

NPI 1497514723
Daniel Foutch , APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1669149134

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Susannah Scaroni , RDN

Dietitian, Registered

NPI 1831076413

Registered Dietitian Nutritionist

Maribeth Boonstra

Social Worker - Clinical

NPI 1912789611
Alexandra Lundquist , RD

Dietitian, Registered

NPI 1992404958

Registered Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 05, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2026

Registered at 313 N MATTIS AVE STE 209, CHAMPAIGN, IL 618212461 (Tel: 2173770299)

📍
Updated Business Mailing Address January 05, 2026

Registered at 200 S VINE ST UNIT 112, URBANA, IL 618023323 (Tel: 2177215929)

👤
Provider Name / Credentials Updated January 05, 2026

Recorded as DOMMINIQUE KINNIE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2026

Counselor (License #178.021280 in IL)

🟢
Initial NPI Registration & Enumeration January 05, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356207294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2026
Last Update: January 05, 2026
Sole Proprietor: No

Mailing Address

200 S Vine St Unit 112

Urbana, IL 618023323

Phone: 2177215929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.