DOMAZ WELLINGTON
NPI 1427466721
Counselor - Professional in Milwaukee, WI
About Domaz Wellington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMAZ WELLINGTON (NPI 1427466721) is an individual professional provider in Milwaukee, Wisconsin, licensed in Wisconsin (5031-125) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
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)
Domaz Wellington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Domaz Wellington reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, NC 27701
- Reassigned Medicare billing, Wisconsin enrollment
- 63 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Wisconsin enrollment
- 163 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53224
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 Domaz Wellington's NPI number?
The NPI number for Domaz Wellington is 1427466721. It was assigned to this individual provider in the NPPES registry on July 30, 2014.
Where is Domaz Wellington located?
Domaz Wellington practices at 11414 W Park Pl, Milwaukee, WI 53224. The listed phone number is (262) 297-6680.
What is Domaz Wellington's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Domaz Wellington enrolled in Medicare?
Yes. Domaz Wellington is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Domaz Wellington's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Domaz Wellington reassigns Medicare benefits to 2 organizations: Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). Each 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 Domaz Wellington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Domaz Wellington accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Medica and Network Health list Domaz Wellington 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 Domaz Wellington was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Domaz Wellington · NPI 1427466721
Professional provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since July 30, 2014.
## Identity
- **NPI:** 1427466721 (Entity type: Individual)
- **Enumerated:** July 30, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 5031-125 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11414 W PARK PL, Milwaukee, WI 53224-3500
- **Phone:** (262) 297-6680 · **Fax:** (262) 364-2742
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mental Health Specialty Group PA (NPI 1801472634, Durham, NC); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1427466721) · Data from the CMS NPPES public registry.