CHARLES GREEN


Address: 684 Ellis St, San Francisco, CA 94109-8090
Phone: 4154094611

CHARLES GREEN (NPI# 1124471784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124471784
Entity Type Individual
Full Name CHARLES GREEN
Practice Address 684 Ellis St
San Francisco
CA 94109-8090
Mailing Address 20 Jones St
Suite 200
San Francisco
CA 94102-3987
Practice Telephone 4154094611
Mailing Telephone 4158525300
Enumeration Date 2016-07-19
Last Update Date 2016-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor ASW72376 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 1720385032 05

Other Providers CHARLES GREEN

NPI Name Taxonomy Address Enumeration
1891285730 Charles Green Non-emergency Medical Transport (VAN) 89 Hunt Ct Apt A, Columbia, SC 29206-5958 2018-05-16
1811266927 Charles Perry Green Community Health Worker 3361 No Kid Rd, Kamiah, ID 83536-5002 2011-12-19
1336262559 Charles Bruce Green Family Medicine Hq Usaf Sg, 1780 Air Force Pentagon, Washington, DC 20330-0001 2007-04-10
1588735146 Charles Goodwin Green Pharmacist 221 S Midland Ave, Monroe, GA 30655-1629 2006-11-13
1073698189 Charles Gary Green Radiology 60 Hall Street, Susanville, CA 96130 2006-10-26
1154801421 Charles Green Behavior Technician 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 2018-08-16
1285110460 Charles Jacob Green IIi Social Worker 2272 Collingwood Blvd, Toledo, OH 43620-1147 2018-07-11
1093226706 Charles Levon Green Counselor 803 W 4th Street, Suite D, Pueblo, CO 81003 2017-10-20
1902127632 Charles William Green Nurse Practitioner 500 Sentara Cir, Suite 102, Williamsburg, VA 23188-5727 2010-06-16
1528283926 Charles Joseph Green Orthopaedic Surgery 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 2007-04-13

Office Location

Street Address 684 ELLIS ST
City SAN FRANCISCO
State CA
Zip Code 94109-8090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285706333 Dara Ruth Papo Counselor 684 Ellis St, San Francisco, CA 94109-8090 2006-11-14
1003378316 Anjna Champaneri Counselor 684 Ellis St, San Francisco, CA 94109-8090 2019-04-04
1346709227 Kate Horsting Specialist 684 Ellis St, San Francisco, CA 94109-8090 2019-03-19
1538634969 Randy Felix Sims Counselor 684 Ellis St, San Francisco, CA 94109-8090 2018-10-12
1306329453 Barrett Pierre Walters Counselor 684 Ellis St, San Francisco, CA 94109-8090 2018-09-13
1649787490 Amy Christin Ratkovich Marriage & Family Therapist 684 Ellis St, San Francisco, CA 94109-8090 2018-01-02
1700392784 Olivia Michele Clear Counselor 684 Ellis St, San Francisco, CA 94109-8090 2017-12-28
1528412608 Maximilian Malak Baccarat Marriage & Family Therapist 684 Ellis St, San Francisco, CA 94109-8090 2016-04-14
1326402454 Katherine Infusino Community/Behavioral Health 684 Ellis St, San Francisco, CA 94109-8090 2016-04-05
1730557190 Jasmine Marquez Marriage & Family Therapist 684 Ellis St, San Francisco, CA 94109-8090 2015-09-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477169738 Emmapreet Bal Social Worker 750 Post Street, San Francisco, CA 94109 2020-09-21
1801414669 Hegla Yakeline Fielding Registered Nurse Felton Institute, 1500 Franklin St, San Francisco, CA 94109 2020-07-08
1356991350 Rachel Sit Wong Technician 1280 Ellis St. Apt. 12, San Francisco, CA 94109 2019-09-12
1396392502 Laura Kathryn Strader Student in an Organized Health Care Education/Training Program Community Youth Center, 1038 Post Street, San Francisco, CA 94109 2019-08-22
1821650227 Anita Kathleen O'shea Community Health Worker 730 Polk St 4th Floor, San Francisco, CA 94109 2019-07-05
1275015638 Quenna G Lee Occupational Therapist 1948 California Street, San Francisco, CA 94109 2018-09-02
1659857340 Kaihan Zhong Marriage & Family Therapist 1038 Post Street Community Youth Center, San Francisco, CA 94109 2018-07-16
1144716044 Elaina Barulic Marriage & Family Therapist 2040 Gough St, San Francisco, CA 94109 2018-07-03
1447778048 Yltze Pamela Cubas-moody Dentist 2107 Vanness Ave, San Francisco, CA 94109 2017-09-03
1063939387 Ritu Sen Counselor 815 Hyde Street, Suite 100, San Francisco, CA 94109 2017-08-28
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy 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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972104628 Ann Egan Counselor 207 Cole St, San Francisco, CA 94117-1915 2020-11-07
1326654518 Mina Dailami Counselor 45 Adair St Apt A, San Francisco, CA 94103-3699 2020-09-22
1538773841 Samantha Santamaria Counselor 1001 Potrero Ave Rm 7g12, San Francisco, CA 94110-3518 2020-09-03
1659980076 Claire Katherine Sheeran Counselor 1275 34th Ave, San Francisco, CA 94122-1306 2020-07-31
1104434331 Archana Chatkara Thomas Counselor 974 Pine St Apt 9, San Francisco, CA 94108-2928 2020-07-14
1790306157 Katherine Rose Kaffka Counselor 995 Potrero Ave # 220, San Francisco, CA 94110-2859 2020-04-27
1265073811 Matthew Charles Paden Counselor 1801 Vicente St San Francisco, San Francisco, CA 94116-2923 2019-10-04
1801442140 Danielle Sawicki Counselor 4355 Geary Blvd, San Francisco, CA 94118-3003 2019-08-13
1417501347 Kimberly Shadean Wedderburn Counselor 2200 Hayes St Fl 3, San Francisco, CA 94117-1013 2019-07-29
1740847250 Caroline Elson Counselor 1440 Steiner St Apt 3, San Francisco, CA 94115-4128 2019-05-21
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Competitor

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City SAN FRANCISCO
Zip Code 94109

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Dataset Information

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.

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