Maiah Claire Domask, MS, LPC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

N91W17194 Appleton Ave Ste 204
Menomonee Falls, WI 53051-2083

Phone

(414) 209-4007

NPI assigned

Jun 11, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1962397620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E MASON ST UNIT 507",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023573",
            "telephone_number": "920-210-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N91W17194 APPLETON AVE STE 204",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512083",
            "telephone_number": "414-209-4007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9735 W Saint Martins Rd",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531329830",
            "country_code": "US",
            "telephone_number": "414-209-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMASK",
        "first_name": "MAIAH",
        "middle_name": "CLAIRE",
        "credential": "MS, LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.