LISA DOMONKOS-SLAMA
NPI 1114656139
Counselor - Mental Health in Spokane, WA

Active since June 06, 2022PECOS EnrolledAccepts Medicare Assignment
11319 S FAIRWAY RIDGE LN, SPOKANE, WA 99224(509) 413-8467 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2025, Apr 3, 2023, Oct 5, 2022 and 1 more (4 updates tracked since 2022).

About Lisa Domonkos-slama NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA DOMONKOS-SLAMA (NPI 1114656139) is an individual mental health provider in Spokane, Washington, licensed in Washington (LH61668029) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114656139
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA DOMONKOS-SLAMA
Location Address11319 S FAIRWAY RIDGE LNSpokane, WA 99224-8378
Mailing Address11319 S Fairway Ridge LnSpokane, WA 99224-8378 · (509) 413-8467
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 6, 2022
Last NPPES UpdateJune 19, 20254 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1114656139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61668029
11319 S FAIRWAY RIDGE LN, Spokane, WA 99224

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Domonkos-slama is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709393945
PECOS Enrollment IDI20250730003958
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Domonkos-slama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
11319 S FAIRWAY RIDGE LN
SPOKANE, WA 99224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Domonkos-slama's NPI number?

The NPI number for Lisa Domonkos-slama is 1114656139. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Lisa Domonkos-slama located?

Lisa Domonkos-slama practices at 11319 S Fairway Ridge Ln, Spokane, WA 99224. The listed phone number is (509) 413-8467.

What is Lisa Domonkos-slama's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lisa Domonkos-slama enrolled in Medicare?

Yes. Lisa Domonkos-slama is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lisa Domonkos-slama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Domonkos-slama reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Domonkos-slama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Domonkos-slama accept?

Health plans from Ambetter Health, BridgeSpan Health Company, Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 1 other insurer list Lisa Domonkos-slama as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Domonkos-slama was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.