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AMANDA K DOMO MS, MHC-LP
NPI 1750966313
Counselor - Mental Health in White Plains, NY

Active since March 16, 2021PECOS Enrolled
20 CHURCH ST STE 2, WHITE PLAINS, NY 10601(914) 491-5032(914) 683-8054 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda K Domo Ms, Mhc-lp NPPES

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

AMANDA K DOMO MS, MHC-LP (NPI 1750966313) is an individual mental health provider in White Plains, New York, licensed in New York (P104456) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750966313
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA K DOMOCredential: MS, MHC-LP
Location Address20 CHURCH ST STE 2White Plains, NY 10601-1926
Mailing Address20 Church St Ste 2White Plains, NY 10601-1926 · (914) 491-5032 · Fax (914) 683-8054
Phone(914) 491-5032
Fax(914) 683-8054
Sole ProprietorNo
Enumeration DateMarch 16, 2021
NPPES CertifiedMarch 16, 2021
✔ NPI 1750966313 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 NY · P104456
20 CHURCH ST STE 2, White Plains, NY 10601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda K Domo Ms, Mhc-lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

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

Aa Psychology PLLC
22 mi
Mental Health (Including Community Mental Health Center)
600 3RD AVE FL 2
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 72 clinicians in this Medicare group
NPI 1932975919 (212) 547-8861

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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN FURFEY
Counselor (Addiction (Substance Use Disorder))
20 CHURCH ST STE 2
WHITE PLAINS, NY 10601
Westchester County (914) 683-8050
ELIZABETH FIGUEROA
Peer Specialist
20 CHURCH ST STE 2
WHITE PLAINS, NY 10601
Westchester County (914) 683-8050
CHRISTINE A HURLEY
Counselor (Addiction (Substance Use Disorder))
20 CHURCH ST STE 2
WHITE PLAINS, NY 10601
Westchester County (914) 683-8050
CARINA AVELINO CASAC
Counselor (Addiction (Substance Use Disorder))
20 CHURCH ST STE 2
WHITE PLAINS, NY 10601
Westchester County (914) 683-8050
MICHAEL BOHLANDER MS
Counselor (Addiction (Substance Use Disorder))
20 CHURCH ST STE 2
WHITE PLAINS, NY 10601
Westchester County (914) 431-2010
JACOB MUNIZ
Counselor (Addiction (Substance Use Disorder))
20 CHURCH ST STE 2
WHITE PLAINS, NY 10601
Westchester County (914) 683-8050
MELISSA MARGARET TALLY MSW
Social Worker
20 CHURCH ST STE 2
WHITE PLAINS, NY 10601
Westchester County (914) 683-8050
ELIZABETH JIMENEZ
Counselor (Addiction (Substance Use Disorder))
20 CHURCH ST STE 2
WHITE PLAINS, NY 10601
Westchester County (914) 683-8050

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 Amanda Domo's NPI number?

The NPI number for Amanda Domo is 1750966313. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Amanda Domo located?

Amanda Domo practices at 20 Church St Ste 2, White Plains, NY 10601. The listed phone number is (914) 491-5032.

What is Amanda Domo's specialty?

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

Is Amanda Domo enrolled in Medicare?

Yes. Amanda Domo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Domo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Domo reassigns Medicare benefits to Aa Psychology PLLC (New York, NY). 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 Amanda Domo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Domo was last updated on March 16, 2021. 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.