Organization Active NPI

Blomstra Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grants Pass, OR
National Provider Identifier
1467343749
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BLOMSTRA BEHAVIORAL HEALTH LLC
Practice address
215 SE 6TH St Ste 310
Grants Pass, OR 97526-2471
Phone
(541) 596-9856
Fax
(541) 325-4839
NPI assigned
Jul 14, 2025
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cherish Dominger, RN
Title
Nurse Manager
Phone
(541) 226-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

215 SE 6TH St Ste 310
Grants Pass, OR 97526-2471

Mailing address

215 SE 6TH St Ste 310
Grants Pass, OR 97526-2471
Phone (541) 596-9856

National Provider Directory

National Provider Directory

Locations

1630 Williams Hwy
Grants Pass, OR 97527
Phone (541) 761-7329

215 SE 6th St
Ste 310
Grants Pass, OR 97526
Phone (541) 596-9856

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1467343749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SE 6TH ST STE 310",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262471",
            "telephone_number": "541-596-9856",
            "fax_number": "541-325-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SE 6TH ST STE 310",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262471",
            "telephone_number": "541-596-9856",
            "fax_number": "541-325-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOMSTRA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "DOMINGER",
        "authorized_official_first_name": "CHERISH",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "541-226-7880",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "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 Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.