Elizabeth Jo Domina, LMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3421 Issued in NE

Practice address

10832 Old Mill Rd
Suite 7
Omaha, NE 68154-2672

Phone

(402) 991-7441

Fax

(402) 991-7445

NPI assigned

Jan 16, 2007

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

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adult, Adolescent and Child Therapy, Inc.

  • Clinical Social Worker
  • Omaha, NE
  • NPI 1134250632
  Medicare reassignment

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1760534473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10832 OLD MILL RD",
            "address_2": "SUITE 7",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542672",
            "telephone_number": "402-991-7441",
            "fax_number": "402-991-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10832 OLD MILL RD",
            "address_2": "SUITE 7",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542672",
            "telephone_number": "402-991-7441",
            "fax_number": "402-991-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINA",
        "first_name": "ELIZABETH",
        "middle_name": "JO",
        "credential": "LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "8143",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Domalakes, M.D.
• Lydia Dombrowski, LMHP, CPC
• Kossi Emmanuel Domeko
• Shelli Domenges
• Anna Domina, OTD, OTR/L
• Jason Michael Domina, PT
• Norma Dominguez de Urquidez
• Estela Dominguez Gonzalez
• Eliab Dominguez Lopez
• Marlene Dominguez Narciso

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.