Individual provider · Type 1 NPI

Domminique Andrea Kinnie, LPC

Counselor · Champaign, IL

NPI number 1356207294 Active

Practice location

313 N Mattis Ave Ste 209
Champaign, IL 61821-2461

Mailing address

200 S Vine St Unit 112
Urbana, IL 61802-3323

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X178.021280 (IL)

Counselor: 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.

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About NPI 1356207294

Domminique Andrea Kinnie, LPC's National Provider Identifier is 1356207294, issued on Jan 5, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Champaign, IL. The record was last updated on Jan 5, 2026.