DOMENICA STABILE-ZWART (NPI# 1164918314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164918314 |
| Entity Type | Individual |
| Full Name | DOMENICA STABILE-ZWART |
| Credential | 101Y00000X |
| Practice Address |
1920 Sw Kurtz Ln Grants Pass OR 97526-2803 |
| Mailing Address |
715 Sw Ramsey Ave Grants Pass OR 97527-5500 |
| Practice Telephone | 5412953072 |
| Mailing Telephone | 5419564943 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1920 SW KURTZ LN |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427324755 | Jessica Alyse Johnsen | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2012-03-30 |
| 1922619105 | Scott Cameron | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2020-08-12 |
| 1639792146 | Alexeev Jones | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2020-05-19 |
| 1326606278 | Elise Napier | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2019-06-04 |
| 1093378614 | Monesia Keenan-kern | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2019-04-18 |
| 1801367958 | Cynthia Batchelor | Peer Specialist | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2018-12-16 |
| 1104312354 | Quentin Thomas Guaderrama | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2018-07-10 |
| 1285130492 | Jarita Irvin | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2018-04-05 |
| 1366941528 | Shelly Ann Guthrie | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2018-02-02 |
| 1952828097 | Chris Kitty Conrad | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2017-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073963872 | Jason Robert Campbell | Counselor | 1750 Nebraska Ave # B, Grants Pass, OR 97527-5700 | 2016-06-13 |
| 1225332406 | Daniel Ellis Bedford | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2011-01-03 |
| 1619203882 | Tanya Dydzyk | Counselor | 711 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2009-10-23 |
| 1639792146 | Alexeev Jones | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2020-05-19 |
| 1548883051 | Jessica August | Counselor | 711 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2020-05-19 |
| 1407477110 | Ian Cole Hernandez | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2020-05-04 |
| 1619517992 | Erin Launiu | Counselor | 1750 Nebraska Ave, Grants Pass, OR 97527-5700 | 2020-01-14 |
| 1669010229 | Maricela Olivares | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-12-13 |
| 1245891282 | Jordan Cooley | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2019-06-20 |
| 1326606278 | Elise Napier | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2019-06-04 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on DOMENICA STABILE-ZWART.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.