Maiah Claire Domask, MS, LPC-IT
Counselor, Professional in Menomonee Falls, WI. Individual provider (NPI-1).
NPI number1962397620
StatusActive
Last updated in NPPESJun 11, 2025
Details
- NPI
- 1962397620
- Entity type
- Individual (NPI-1)
- Name
- Maiah Claire Domask
- Credential
- MS, LPC-IT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2025
- Certification date
- Jun 11, 2025
- Last updated
- Jun 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | WI | Yes |
Practice location
N91w17194 Appleton Ave Ste 204Menomonee Falls, WI 53051-2083
Phone 414-209-4007
Mailing address
104 E Mason St Unit 507Milwaukee, WI 53202-3573
Phone 920-210-3975
Other practice locations
9735 W Saint Martins Rd
Franklin, WI 53132-9830
Franklin, WI 53132-9830
Phone 414-209-4007
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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