Tasha Domashovetz, LPC
Individual provider Active NPI Professional Counselor · Silverthorne, CO
NPI 1215568142 · NPPES record last updated Jan 31, 2024
Key facts
- NPI
- 1215568142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 2400 Lodge Pole Cir
Silverthorne, CO 80498-5407 - Phone
- (847) 337-8534
- NPI assigned
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0016389 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tasha Domashovetz Counseling LLC | Professional | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0016389 | CO | |
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
2400 Lodge Pole Cir
Silverthorne, CO 80498-5407
Mailing address
PO Box 2301-215
Silverthorne, CO 80498
Phone (720) 260-4643
Other providers in Silverthorne, CO
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- Hassan Daghash
- Cindy L Dallow
- Karen-Jo Dolamore
- Ami Kathleen Doyle
- Linda Eikmeier
- Kerri Lee Elam
- Emily Kaitlyn Ernst
- William D Ferris
All providers in Silverthorne, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.