KAITLYN MARIE GREEN (NPI# 1003214792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003214792 |
| Entity Type | Individual |
| Full Name | KAITLYN MARIE GREEN |
| Credential | ASW |
| Practice Address |
1255 Kendall Rd San Luis Obispo CA 93401-8750 |
| Mailing Address |
2433 Waldon St. Redding CA 96001 |
| Practice Telephone | 8057813535 |
| Mailing Telephone | 5309414005 |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 60870 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073009353 | Kaitlyn Rose Green | Physician Assistant | 560 Village Blvd Suite #150, West Palm Beach, FL 33409 | 2018-07-10 |
| 1285279620 | Kaitlyn Green | Behavior Technician | 1166 S Gilbert Rd, Suite 106, Gilbert, AZ 85296-3460 | 2019-11-08 |
| 1083133342 | Kaitlyn Elizabeth Green | Counselor | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2017-09-18 |
| 1710402664 | Kaitlyn Green | Physical Therapist | 748 N Earl Rudder Fwy, Bryan, TX 77802-2914 | 2017-08-11 |
| Street Address |
1255 KENDALL RD |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-8750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336284124 | Irianna Lembo | Marriage & Family Therapist | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2007-02-20 |
| 1841890852 | Neal T Mohr | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-10-28 |
| 1689272155 | Cody W Mello | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-10-15 |
| 1164045118 | Martha Soledad Reck | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-26 |
| 1043833296 | Alyssa Perez | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-22 |
| 1588287833 | Samantha Brown | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-21 |
| 1063035384 | Marissa Monee Sanchez | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-20 |
| 1841813250 | Madison Debruin | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-19 |
| 1568083871 | Crystal Linn-castro | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-04-28 |
| 1881213809 | Julia Wagithi Muya | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636859 | Gemi Bertran | Counselor | 668 Marsh St Ste 9, San Luis Obispo, CA 93401-3931 | 2020-07-08 |
| 1609430701 | Hallelujah Aimee Adams | Counselor | 641 Higuera St Ste 202, San Luis Obispo, CA 93401-0508 | 2019-04-24 |
| 1730657842 | Jason Carr | Counselor | 955 Monterey St, San Luis Obispo, CA 93401-3259 | 2018-11-06 |
| 1730670738 | Venessa Monique Andrade | Counselor | 2178 Johnson Ave # 93401, San Luis Obispo, CA 93401-4535 | 2018-05-24 |
| 1528561735 | Kardell Eugene | Counselor | 2178 Johnson Ave Ste 2, San Luis Obispo, CA 93401-4535 | 2018-03-14 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1568844843 | Ryan Julie Perisho | Counselor | 51 Zaca Ln, San Luis Obispo, CA 93401-7399 | 2015-06-23 |
| 1568771855 | Stephanie Rose Valliere | Counselor | 894 Meinecke Ave Ste D, San Luis Obispo, CA 93405-3700 | 2010-10-04 |
| 1417283573 | Linda Louise Quesenberry | Counselor | 227 South St, San Luis Obispo, CA 93401 | 2009-10-26 |
| 1386829174 | Transitions - Mental Health Association | Counselor | 1306 Nipomo St, San Luis Obispo, CA 93401-3935 | 2007-12-31 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on KAITLYN MARIE GREEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.