ELIZABETH DOMACK LPC
NPI 1225405152
Counselor - Professional in Bridgeport, CT
About Elizabeth Domack Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH DOMACK LPC (NPI 1225405152) is an individual professional provider in Bridgeport, Connecticut, licensed in Connecticut (2811) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Shelton.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Domack Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elizabeth Domack's NPI number?
The NPI number for Elizabeth Domack is 1225405152. It was assigned to this individual provider in the NPPES registry on August 26, 2015.
Where is Elizabeth Domack located?
Elizabeth Domack practices at 170 Bennett St, Bridgeport, CT 06605. The listed phone number is (203) 330-6790.
What is Elizabeth Domack's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Elizabeth Domack enrolled in Medicare?
Yes. Elizabeth Domack is registered in the Medicare PECOS enrollment system.
What insurance does Elizabeth Domack accept?
Health plans from Anthem Blue Cross and Blue Shield list Elizabeth Domack 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 Elizabeth Domack was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.
# Elizabeth Domack, LPC · NPI 1225405152
Professional provider in Bridgeport, Connecticut. Individual provider, active in the CMS NPPES registry since August 26, 2015.
## Identity
- **NPI:** 1225405152 (Entity type: Individual)
- **Enumerated:** August 26, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2811 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 170 BENNETT ST, Bridgeport, CT 06605-2901
- **Phone:** (203) 330-6790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** October 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225405152) · Data from the CMS NPPES public registry.