Organization Active NPI

Eight Domains LLC

Doing business as Eight Domains Therapy, LLC

  • Clinical Social Worker
  • Columbia, MO
National Provider Identifier
1730767542
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EIGHT DOMAINS LLC
Doing business as
Eight Domains Therapy, LLC
Practice address
1500 Fellows PL Apt 3C
Columbia, MO 65201-8529
Phone
(573) 212-4456
Fax
(573) 970-3007
NPI assigned
Apr 1, 2021
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Amber Liponoga, LCSWQNPI 1639763147
Title
Owner
Phone
(573) 212-4456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1500 Fellows PL Apt 3C
Columbia, MO 65201-8529

Mailing address

115 Conley Rd # 1032
Columbia, MO 65201-6465
Phone (573) 212-4456

Other names 1

  • Eight Domains Therapy, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251103000353 MO Part B Supplier - Clinic/Group Practice 8022507672 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

Locations

115 Conley Rd
Columbia, MO 65201
Phone (314) 327-2005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1730767542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CONLEY RD # 1032",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016465",
            "telephone_number": "573-212-4456",
            "fax_number": "573-970-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FELLOWS PL APT 3C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018529",
            "telephone_number": "573-212-4456",
            "fax_number": "573-970-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIGHT DOMAINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "LIPONOGA",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-212-4456",
        "authorized_official_credential": "LCSWQ"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eight Domains Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eight Domains Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.