Active NPI
Adrienne Louise Dombrosky, M.A.
- Mental Health Counselor
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1255 Hilyard St
Eugene, OR 97401-3718 - Phone
- (541) 686-6929
- NPI assigned
- Nov 26, 2014
- Last updated
- Jan 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C4644 | OR | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1255 Hilyard St
Eugene, OR 97401-3718
Mailing address
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 Hilyard St
Eugene, OR 97401-3718
Phone (458) 205-6011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4644 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Medical Group | Mental Health | Current | Accepting new patients |
Locations
4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300
1255 Hilyard St
Eugene, OR 97401
Phone (503) 686-7300
3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1366849879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 RIVERBEND DR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778800",
"telephone_number": "541-222-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 HILYARD ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013718",
"telephone_number": "541-686-6929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMBROSKY",
"first_name": "ADRIENNE",
"middle_name": "LOUISE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-26",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C4644",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.