RENE BETH DOMASK LPC
NPI 1740888544
Counselor - Mental Health in Sturgeon Bay, WI
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Rene Domask reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sturgeon Bay, WI 54235
- Reassigned Medicare billing, Wisconsin enrollment
- 9 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 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.
Which organization bills Medicare for Rene Domask's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rene Domask reassigns Medicare benefits to County Of Door-Door County Library (Sturgeon Bay, WI). 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 Rene Domask's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rene Domask accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan 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 6 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.
# Rene Beth Domask, LPC · NPI 1740888544
Mental Health provider in Sturgeon Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since October 14, 2020.
## Identity
- **NPI:** 1740888544 (Entity type: Individual)
- **Enumerated:** October 14, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6882-125 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 760 QUARTERDECK LN # 2102B, Sturgeon Bay, WI 54235-3639
- **Phone:** (920) 851-6404
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** County Of Door-Door County Library (NPI 1245265693, Sturgeon Bay, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1740888544) · Data from the CMS NPPES public registry.