CHARLES GREEN (NPI# 1124471784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | ASW72376 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1720385032 | 05 |
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 |
Street Address |
684 ELLIS ST |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94109-8090 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 94109 |
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 |
---|---|---|---|---|
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 |
Find all providers in SAN FRANCISCO |
City | SAN FRANCISCO |
Zip Code | 94109 |
Please comment or provide details below to improve the information on CHARLES 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.