RENE BETH DOMASK (NPI# 1740888544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740888544 |
| Entity Type | Individual |
| Full Name | RENE BETH DOMASK |
| Credential | LPC |
| Practice Address |
760 Quarterdeck Ln # 2102b Sturgeon Bay WI 54235-3639 |
| Practice Telephone | 9208516404 |
| Mailing Telephone | 9208516404 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6882-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
760 QUARTERDECK LN # 2102B |
| City | STURGEON BAY |
| State | WI |
| Zip Code | 54235-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| 1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
| 1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
| 1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
| 1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
| 1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
| 1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
| 1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
| 1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
| Find all providers in zip 54235 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398622 | Erika Nelson | Counselor | 242 Michigan St Ste 301b, Sturgeon Bay, WI 54235-2548 | 2019-10-21 |
| 1780125476 | Bellin Psychiatric Center Inc | Counselor | 311 N 3rd Ave, Sturgeon Bay, WI 54235-2401 | 2017-03-14 |
| 1063893352 | Bellin Memorial Hospital Inc | Counselor | 311 N 3rd Ave, Sturgeon Bay, WI 54235-2401 | 2015-06-12 |
| 1568769339 | Margaret Buhk | Counselor | 44 S 2nd Ave, Sturgeon Bay, WI 54235-2526 | 2011-02-14 |
| 1073525663 | Kristine Kelly Konrad | Counselor | 421 Nebraska St, Sturgeon Bay, WI 54235-2249 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446430 | Caley Kiser | Counselor | 1245 Cheyenne Ave Ste 200, Grafton, WI 53024-9323 | 2020-10-28 |
| 1467051706 | Emily Worth | Counselor | 1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 | 2020-10-19 |
| 1073110631 | Be Insightful Counseling LLC | Counselor | 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 | 2020-10-07 |
| 1447867759 | Veronica Mary Fox | Counselor | N79w12855 Fond Du Lac Avenue, Menomonee Falls, WI 53051-4409 | 2020-09-30 |
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1265047625 | Jessica Marie Key | Counselor | 5805 W Wells St, Wauwatosa, WI 53213-3239 | 2020-09-12 |
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
| 1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
| 1548872765 | Kelly Kendricks | Counselor | 2002 Atwood Ave Ste 225, Madison, WI 53704-5382 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | STURGEON BAY |
| Zip Code | 54235 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.