Active NPI
Debrianna Grace Debolt
- Mental Health Counselor
- McMinnville, OR
National Provider Identifier
1114882982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1107 NE 27TH St
McMinnville, OR 97128-2301 - Phone
- (661) 645-8501
- NPI assigned
- Dec 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1107 NE 27TH St
McMinnville, OR 97128-2301
Mailing address
1107 NE 27TH St
McMinnville, OR 97128-2301
Other practice location 1
851 NE Baker St
McMinnville, OR 97128-4991
Phone (503) 435-4840
Other names 1
- Debrianna Grace Cabitac-Debolt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1114882982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 NE 27TH ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971282301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 NE 27TH ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971282301",
"telephone_number": "661-645-8501"
}
],
"practiceLocations": [
{
"address_1": "851 NE Baker St",
"address_purpose": "LOCATION",
"city": "McMinnville",
"state": "OR",
"postal_code": "971284991",
"country_code": "US",
"telephone_number": "503-435-4840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEBOLT",
"first_name": "DEBRIANNA",
"middle_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-23",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRIANNA",
"last_name": "CABITAC-DEBOLT",
"middle_name": "GRACE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.