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JESSICA ELIZABETH DOMINGO
NPI 1699476713
Social Worker - Clinical in Longwood, FL

Active since March 15, 2023PECOS EnrolledAccepts Medicare Assignment
156 TOLLGATE TRL, LONGWOOD, FL 32750(407) 920-5270 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 26, 2024, Mar 15, 2023 (2 updates tracked since 2023).

About Jessica Elizabeth Domingo NPPES

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

JESSICA ELIZABETH DOMINGO (NPI 1699476713) is an individual clinical provider in Longwood, Florida, licensed in Florida (SW17888) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1699476713
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA ELIZABETH DOMINGO
Location Address156 TOLLGATE TRLLongwood, FL 32750-3855
Mailing Address156 Tollgate TrlLongwood, FL 32750-3855 · (407) 920-5270
Phone(407) 920-5270
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 15, 2023
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1699476713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW17888
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
156 TOLLGATE TRL, Longwood, FL 32750
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.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

Jessica Elizabeth Domingo 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 ID5496110728
PECOS Enrollment IDI20230420001560, I20250314000751, I20260314000432, I20260316002930
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 Reassignments

3

Medicare enrollment records show Jessica Domingo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brave Health Inc.
213 mi
Community/Behavioral Health
1951 NW 7TH AVE
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 194 clinicians in this Medicare group
NPI 1821588674 (305) 930-8939
Sunflower Therapy LLC
653 mi
Clinical
8401 MAYLAND DR STE S
Richmond, VA 23294
  • Reassigned Medicare billing, Virginia and Massachusetts enrollments
  • Also billed through NPI 1316770993 (Massachusetts)
NPI 1215823752 (407) 735-6176
Sondermind Provider Network LLC
1,545 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Florida, Massachusetts, Texas and Vermont enrollments
  • 238 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32750 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jessica Domingo's NPI number?

The NPI number for Jessica Domingo is 1699476713. It was assigned to this individual provider in the NPPES registry on March 15, 2023.

Where is Jessica Domingo located?

Jessica Domingo practices at 156 Tollgate Trl, Longwood, FL 32750. The listed phone number is (407) 920-5270.

What is Jessica Domingo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Domingo enrolled in Medicare?

Yes. Jessica Domingo 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 organizations bill Medicare for Jessica Domingo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Domingo reassigns Medicare benefits to 3 organizations: Brave Health Inc. (Miami, FL), Sunflower Therapy LLC (Richmond, VA) and Sondermind Provider Network LLC (Denver, CO). 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 Jessica Domingo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Domingo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 8 other insurers list Jessica Domingo 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 Jessica Domingo was last updated on June 26, 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.