DOMENICA DORO
NPI 1194485722
Counselor - Professional in Crystal Lake, IL
About Domenica Doro NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMENICA DORO (NPI 1194485722) is an individual professional provider in Crystal Lake, Illinois, licensed in Illinois (178.016997) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Domenica Doro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Domenica Doro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Crystal Lake, IL 60014
- Reassigned Medicare billing, Illinois enrollment
- 8 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CRYSTAL LAKE, IL 60014
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 Domenica Doro's NPI number?
The NPI number for Domenica Doro is 1194485722. It was assigned to this individual provider in the NPPES registry on December 22, 2021.
Where is Domenica Doro located?
Domenica Doro practices at 475 W Terra Cotta Ave Ste E, Crystal Lake, IL 60014. The listed phone number is (815) 707-4806.
What is Domenica Doro's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Domenica Doro enrolled in Medicare?
Yes. Domenica Doro is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Domenica Doro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Domenica Doro reassigns Medicare benefits to The Center For Courageous Living LLC (Crystal Lake, IL). 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 Domenica Doro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Domenica Doro accept?
Health plans from Oscar Health list Domenica Doro 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 Domenica Doro was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Domenica Doro · NPI 1194485722
Professional provider in Crystal Lake, Illinois. Individual provider, active in the CMS NPPES registry since December 22, 2021.
## Identity
- **NPI:** 1194485722 (Entity type: Individual)
- **Enumerated:** December 22, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178.016997 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 475 W TERRA COTTA AVE STE E, Crystal Lake, IL 60014-3407
- **Phone:** (815) 707-4806
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Center For Courageous Living LLC (NPI 1457842460, Crystal Lake, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1194485722) · Data from the CMS NPPES public registry.