SARAH DOMIN CCC-SLP
NPI 1669204392
Speech-Language Pathologist in Addison, TX

Active since August 20, 2024
15530 LEWIS PL APT 4731, ADDISON, TX 75001(480) 265-7923 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sarah Domin Ccc-slp NPPES

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

SARAH DOMIN CCC-SLP (NPI 1669204392) is an individual speech-language pathologist provider in Addison, Texas, licensed in Texas (14476033) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1669204392
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSARAH DOMINCredential: CCC-SLP
Location Address15530 LEWIS PL APT 4731Addison, TX 75001-6854
Mailing Address15530 Lewis Pl Apt 4731Addison, TX 75001-6854 · (480) 265-7923
Sole ProprietorNo
Enumeration DateAugust 20, 2024
NPPES CertifiedAugust 20, 2024
✔ NPI 1669204392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in TX · 14476033
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
15530 LEWIS PL APT 4731, Addison, TX 75001

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)

Sarah Domin Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Sarah Domin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
3405 EL SALIDO PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 192 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.

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 Sarah Domin's NPI number?

The NPI number for Sarah Domin is 1669204392. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Sarah Domin located?

Sarah Domin practices at 15530 Lewis Pl Apt 4731, Addison, TX 75001. The listed phone number is (480) 265-7923.

What is Sarah Domin's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Sarah Domin enrolled in Medicare?

Yes. Sarah Domin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sarah Domin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Domin reassigns Medicare benefits to Legacy Healthcare Services Inc. (Cedar Park, TX). 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 Sarah Domin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Domin accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Sarah Domin 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 Sarah Domin was last updated on August 20, 2024. 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.