RENE BETH DOMASK LPC
NPI 1740888544
Counselor - Mental Health in Sturgeon Bay, WI

Active since October 14, 2020PECOS EnrolledAccepts Medicare Assignment
760 QUARTERDECK LN # 2102B, STURGEON BAY, WI 54235(920) 851-6404 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Rene Beth Domask Lpc NPPES

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

RENE BETH DOMASK LPC (NPI 1740888544) is an individual mental health provider in Sturgeon Bay, Wisconsin, licensed in Wisconsin (6882-125) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740888544
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRENE BETH DOMASKCredential: LPC
Location Address760 QUARTERDECK LN # 2102BSturgeon Bay, WI 54235-3639
Mailing Address760 Quarterdeck Ln # 2102bSturgeon Bay, WI 54235-3639 · (920) 851-6404
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
NPI 1740888544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WI · 6882-125
760 QUARTERDECK LN # 2102B, Sturgeon Bay, WI 54235

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 and accepts Medicare assignment

Rene Beth Domask Lpc 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 ID9436694908
PECOS Enrollment IDI20240709004454
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.

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 Rene Domask's NPI number?

The NPI number for Rene Domask is 1740888544. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Rene Domask located?

Rene Domask practices at 760 Quarterdeck Ln # 2102B, Sturgeon Bay, WI 54235. The listed phone number is (920) 851-6404.

What is Rene Domask's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Rene Domask enrolled in Medicare?

Yes. Rene Domask 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.

What insurance does Rene Domask accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Rene Domask 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 Rene Domask was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.