JIM DOMINGUE (NPI# 1144478850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144478850 |
| Entity Type | Individual |
| Full Name | JIM DOMINGUE |
| Practice Address |
1255 Pearl St Suite 102 Eugene OR 97401-3570 |
| Practice Telephone | 5416876983 |
| Mailing Telephone | 5416876983 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2010-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1255 PEARL ST SUITE 102 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548275217 | Options Counseling Services of Oregon | Counselor | 1255 Pearl St, Suite 102, Eugene, OR 97401-3570 | 2006-07-30 |
| 1962019943 | Christina Lenczuk | Case Manager/Care Coordinator | 1255 Pearl St, Eugene, OR 97401-3570 | 2020-09-24 |
| 1457966046 | Lilly Grace Elston | Counselor | 1255 Pearl St, Eugene, OR 97401-3570 | 2020-09-10 |
| 1487270203 | Perry Wayne Washington | Social Worker | 1255 Pearl St, Eugene, OR 97401-3570 | 2020-06-17 |
| 1245882653 | Taylor Langeliers | Counselor | 1255 Pearl St, Eugene, OR 97401-3570 | 2019-07-15 |
| 1821659772 | Gretchen Marie Stupke | Counselor | 1255 Pearl St, Eugene, OR 97401-3570 | 2019-06-21 |
| 1457826877 | Alison Cornell Willis | Counselor | 1255 Pearl St, Eugene, OR 97401-3570 | 2018-10-11 |
| 1366921728 | Alma Delia Perales Tapia | Counselor | 1255 Pearl St, Eugene, OR 97401-3570 | 2018-08-07 |
| 1447742366 | Ayla Ridley | Counselor | 1255 Pearl St, Eugene, OR 97401-3570 | 2018-06-06 |
| 1386165462 | Stefani Paige Evans | Counselor | 1255 Pearl St, Eugene, OR 97401-3570 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| 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 |
|---|---|---|---|---|
| 1619575354 | Erica Cross | Counselor | 2650 Suzanne Way Ste 120, Eugene, OR 97408-7619 | 2020-10-14 |
| 1689296113 | Ruby Joy Garcia | Counselor | 970 W 7th Ave, Eugene, OR 97402-4612 | 2020-05-06 |
| 1578118931 | Kindra Maline French | Counselor | 767 W 8th Ave, Eugene, OR 97402-5139 | 2019-08-02 |
| 1083272900 | Sarah Louise Stutzman | Counselor | Oregon Community Programs, 1170 Pearl St, Eugene, OR 97401-3541 | 2019-06-05 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1114412178 | Sarah Jane Kahler | Counselor | 3500 Chad Dr Ste 350, Eugene, OR 97408-7426 | 2018-06-22 |
| 1417444217 | White Bird Clinic | Counselor | 341 E. 12th, Eugene, OR 97401-3212 | 2018-04-17 |
| 1346747854 | White Bird Clinic | Counselor | 341 East 12th Ave, Eugene, OR 97401-3212 | 2018-04-11 |
| 1891292314 | White Bird Clinic | Counselor | 341 East 12th Avenue, Eugene, OR 97401-3212 | 2018-04-11 |
| 1992230940 | Michelle Maher | Counselor | 1060 Almaden St, Eugene, OR 97402-3739 | 2017-04-27 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on JIM DOMINGUE.
| 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.