| Hannah Domasky, LPC-IT | |
|
620 W Brown St, Waupun, WI 53963-1702 | |
| (920) 324-5581 | |
| Not Available |
| Full Name | Hannah Domasky |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 620 W Brown St, Waupun, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447824982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rechek Psychotherapy Services, Llc | 6305381914 | 3 |
| Entity Name | Rechek Psychotherapy Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841030814 PECOS PAC ID: 6305381914 Enrollment ID: O20240708002923 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Domasky, LPC-IT 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-5581 | Hannah Domasky, LPC-IT 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-5581 |
Kourtney Kaye Lechner Ullrich, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-926-4200 | |
Kamelah Reed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 S Madison St, Waupun, WI 53963 Phone: 414-301-1741 | |
Megan Hoag, Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-7600 | |
Alyssa A Hallgren, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-926-4200 | |
Panou Lee, Counselor Medicare: May Accept Medicare Assignments Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-7600 |