Jessica Domke, LPC, ATR
NPI 1083575989ActiveIndividual· Counselor, Mental Health· Bridgeton, MO
Opted out of Medicare from April 2026 to April 2028. Counselor, Mental Health (LPC, ATR) in Bridgeton, Missouri, licensed in MO, with an NPI issued in November 2025.
Overview
| NPI | 1083575989 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, ATR |
| Sole proprietor | Yes |
| NPI issued | Nov 20, 2025 |
| Last updated in NPPES | Nov 20, 2025 |
| Certified by provider | Nov 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 2022037793 | MO |
| Art Therapist | 221700000X | — | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 22, 2026 – Apr 22, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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