Active NPI
Kristopher D Dubenic
- Counselor
- Grants Pass, OR
National Provider Identifier
1376332957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1201 NE 7TH St Ste D
Grants Pass, OR 97526-1451 - Phone
- (541) 281-9026
- NPI assigned
- May 1, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1201 NE 7TH St Ste D
Grants Pass, OR 97526-1451
Mailing address
900 Caves Camp Rd
Williams, OR 97544-9606
Phone (815) 641-6159
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": "1746057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1376332957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CAVES CAMP RD",
"city": "WILLIAMS",
"state": "OR",
"postal_code": "975449606",
"telephone_number": "815-641-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NE 7TH ST STE D",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261451",
"telephone_number": "541-281-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBENIC",
"first_name": "KRISTOPHER",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-01",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.