DR. JENNIFER MILLER-GREEN (NPI# 1083958854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083958854 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MILLER-GREEN |
| Credential | PH.D. |
| Practice Address |
1721 Shivers Rd Columbia SC 29210-5413 |
| Practice Telephone | 8038967450 |
| Practice Fax Number | 8038967451 |
| Mailing Telephone | 8038967450 |
| Mailing Fax Number | 8038967451 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
789 | SC | Behavioral Health & Social Service Providers |
| Street Address |
1721 SHIVERS RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-5413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932276169 | Mary Elizabeth Easton | Psychologist | 1721 Shivers Rd, Columbia, SC 29210-5413 | 2006-11-30 |
| 1891168043 | Ashli Mitchell | Counselor | 1721 Shivers Rd, Columbia, SC 29210-5413 | 2015-11-10 |
| 1205209434 | Dalvina Green Phillips | Counselor | 1721 Shivers Rd, Columbia, SC 29210-5413 | 2015-11-10 |
| 1457697047 | Cassandra Conyers-rush | Psychologist | 1721 Shivers Rd, Columbia, SC 29210-5413 | 2012-12-31 |
| 1447596689 | Terry Lee Fender | Social Worker | 1721 Shivers Rd, Columbia, SC 29210-5413 | 2012-12-17 |
| 1306182696 | Sarah Elizabeth Hood | Social Worker | 1721 Shivers Rd, Columbia, SC 29210-5413 | 2012-12-14 |
| 1477898492 | Vanessa Galvarino Hiers | Social Worker | 1721 Shivers Rd, Columbia, SC 29210-5413 | 2012-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1861964207 | Erin Joy Schuyler | Psychologist | 26 Barn Owl Ct, Columbia, SC 29209-4488 | 2018-12-26 |
| 1467944439 | Zixuan Wang | Psychologist | 10000 Town Center Ave Apt 434, Columbia, MD 21044-5447 | 2018-06-05 |
| 1366990384 | Amanda Marie Jones | Psychologist | 6851 Oak Hall Ln Ste 118, Columbia, MD 21045-5815 | 2016-09-19 |
| 1124574850 | Patrick Steele | Psychologist | 1531 Laurel St, Columbia, SC 29201 | 2016-09-01 |
| 1073968061 | Tara Acevedo, Psy.d., PC | Psychologist | 6213 Deep Earth Ln, Columbia, MD 21045-2565 | 2016-04-27 |
| 1467833798 | Matthew Edmond Fitzgerald | Psychologist | 6801 Oak Hall Ln # 2254, Columbia, MD 21045-9998 | 2015-06-11 |
| Find all providers in COLUMBIA | ||||
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| 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.