DOMINIQUE CHURNETSKI-HAYES
NPI 1811639396
Counselor in San Jose, CA

Active since April 13, 2022
25 N 14TH ST, SAN JOSE, CA 95112(510) 696-5810 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Churnetski-hayes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE CHURNETSKI-HAYES (NPI 1811639396) is an individual counselor in San Jose, California, licensed in California (10Y00000X) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1811639396
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDOMINIQUE CHURNETSKI-HAYES
Location Address25 N 14TH STSan Jose, CA 95112-6204
Mailing Address25 N 14th StSan Jose, CA 95112-6204 · (510) 696-5810
Sole ProprietorNo
Enumeration DateApril 13, 2022
NPPES CertifiedApril 13, 2022
NPI 1811639396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in CA · 10Y00000X
Definition
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.
25 N 14TH ST, San Jose, CA 95112

Other Names 1

Other Name (5)Nikki Hayes

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
25 N 14TH ST, STE 550
SAN JOSE, CA 95112
Counselor (Addiction (Substance Use Disorder))
25 N 14TH ST
SAN JOSE, CA 95112
Physical Therapy Assistant
25 N 14TH ST, SUITE 550
SAN JOSE, CA 95112
Family Medicine
25 N 14TH ST, SUITE 1020
SAN JOSE, CA 95112
Case Manager/Care Coordinator
25 N 14TH ST
SAN JOSE, CA 95112
Physical Therapy Assistant
25 N 14TH ST, 550
SAN JOSE, CA 95112
Counselor (Mental Health)
25 N 14TH ST, SUITE 620
SAN JOSE, CA 95112
Specialist
25 N 14TH ST, SUITE 870
SAN JOSE, CA 95112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Churnetski-hayes's NPI number?

The NPI number for Dominique Churnetski-hayes is 1811639396. It was assigned to this individual provider in the NPPES registry on April 13, 2022. The provider is also known as Nikki Hayes.

Where is Dominique Churnetski-hayes located?

Dominique Churnetski-hayes practices at 25 N 14th St, San Jose, CA 95112. The listed phone number is (510) 696-5810.

What is Dominique Churnetski-hayes's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Dominique Churnetski-hayes was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.