Sarah Jane Domke, M.A. LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401018907 Issued in MI

Practice address

19800 Hall Rd
Clinton Township, MI 48038-5318

Phone

(586) 948-0222

NPI assigned

Jan 13, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: sarah.domke@mccmh.net

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1003111527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19800 HALL RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19800 HALL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385318",
            "telephone_number": "586-948-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 E 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480711541",
            "country_code": "US",
            "telephone_number": "248-524-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMKE",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "M.A. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011423",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401018907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sarah.domke@mccmh.net",
            "affiliation": "N",
            "address_1": "19800 Hall Rd",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480385318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Jessica Dobine, OTR/L
• John Anthony Dobry, D.D.S.
• Jordan Dobson
• Shana Dodgson, MS CCC-SLP
• Weyni Mina Doggett, LMSW
• Janet Schryer Donahue, LPC, NCC
• Kelly Donajkowski, RN
• Shannon Donaldson, RN
• Chamente Doneghy-Horrington
• Donna M Kelly DC PC

• Mental Health Counselor in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.