MARY J, PHILLIPS GREEN (NPI# 1134339245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134339245 |
| Entity Type | Individual |
| Full Name | MARY J, PHILLIPS GREEN |
| Credential | PHD,LMHC,LMFT, LCPC |
| Practice Address |
10324 Canyon Rd E Suite 208 Puyallup WA 98373-1013 |
| Practice Telephone | 2532671760 |
| Practice Fax Number | 2535031628 |
| Mailing Telephone | 2532671760 |
| Mailing Fax Number | 2535031628 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LCPC-399 | ID | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH00009327 | WA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | LF-00002624 | WA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | LMFT-35 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173548 | Mary Green | Technician | 1011 Patch St, Beckley, WV 25801-6837 | 2020-08-05 |
| 1003450388 | Mary Elizabeth Green | Licensed Practical Nurse | 650 Highland Ave # 100, Winston Salem, NC 27101-4304 | 2019-10-30 |
| 1861049033 | Mary Elizabeth Green | Technician | 9127 Rt240, West Valley, NY 14171 | 2019-08-22 |
| 1154827350 | Mary Etosha Green | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd Winston Salem, Winston Salem, NC 27157-0001 | 2018-04-05 |
| 1760860456 | Mary Green | Student in an Organized Health Care Education/Training Program | 11655 Briar Forest Dr, 31, Houston, TX 77077-5023 | 2015-05-13 |
| 1073941415 | Mary Fisher Green | Physician Assistant | 1120 15th St # Af-2044, Augusta, GA 30912-3040 | 2013-10-22 |
| 1790031441 | Mary T Green | Home Health Aide | 2419 Adamsway Dr, Aurora, IL 60502-9076 | 2012-07-31 |
| 1659680569 | Mary Elizabeth Green | Social Worker | 400 N Main St Ste 3, Manahawkin, NJ 08050-3730 | 2010-09-27 |
| 1689818411 | Mary Sue Green | Counselor | 8150 Us Highway 287, Childress, TX 79201-7152 | 2009-04-23 |
| 1750524948 | Mary O. Green | Case Manager/Care Coordinator | 7684 Greenridge Ct, Douglasville, GA 30134-3762 | 2009-04-17 |
| Street Address |
10324 CANYON RD E SUITE 208 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98373-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104979749 | Tracie A Silva | Specialist | 10324 Canyon Rd E, Ste 105, Puyallup, WA 98373-1013 | 2007-01-18 |
| 1235670944 | Anureet Kaur Singh | Physical Therapist | 10324 Canyon Rd E, Suite 203, Puyallup, WA 98373-1013 | 2017-03-14 |
| 1952773897 | Cassandra Simon | Counselor | 10324 Canyon Rd E, 203, Puyallup, WA 98373-1013 | 2015-10-29 |
| 1730559840 | Kendre Howland | Speech-Language Pathologist | 10324 Canyon Rd E, Suite 203, Puyallup, WA 98373-1013 | 2015-10-01 |
| 1194107458 | James Robinson | Counselor | 10324 Canyon Rd E, Suite 208, Puyallup, WA 98373-1013 | 2015-06-23 |
| 1154608073 | Hope Counseling Services, LLC | Community/Behavioral Health | 10324 Canyon Rd E, Suite 208, Puyallup, WA 98373-1013 | 2011-11-06 |
| 1689988123 | Jacquelyn Starr | Specialist | 10324 Canyon Rd E, 105, Puyallup, WA 98373-1013 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
| 1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
| 1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
| 1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
| Find all providers in zip 98373 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1275017014 | Siara Victorian | Marriage & Family Therapist | 12511 Meridian E Ste 201, Puyallup, WA 98373-3425 | 2018-09-18 |
| 1427557610 | Sunrise Family Therapy | Marriage & Family Therapist | 3911 9th St Sw # A211-212, Puyallup, WA 98373-5946 | 2018-02-02 |
| 1659821478 | Bridget St John | Marriage & Family Therapist | 105b W Main Ste 115, Puyallup, WA 98371-5329 | 2016-10-04 |
| 1730521238 | Whitney Reehm | Marriage & Family Therapist | 437 29th St Ne Ste F, Puyallup, WA 98372 | 2013-07-24 |
| 1982045217 | Ireri Kang | Marriage & Family Therapist | 1011 E Main Ste 103, Puyallup, WA 98372-6768 | 2013-07-15 |
| 1134461288 | Gretchen Justine Stockman | Marriage & Family Therapist | 12515 Meridian E Ste 203, Puyallup, WA 98373-3436 | 2013-03-26 |
| 1366750432 | Shawnda L Brese | Marriage & Family Therapist | 601 Valley Ave Ne, Suite F, Puyallup, WA 98372-2530 | 2010-09-22 |
| 1952616740 | Connie Sue Mcdonald | Marriage & Family Therapist | 3806 9th St Sw Ste F, Puyallup, WA 98373-3687 | 2010-08-17 |
| 1053642967 | Sarah Atchison | Marriage & Family Therapist | 6726 131st St E, Puyallup, WA 98373-6314 | 2010-01-18 |
| Find all providers in PUYALLUP | ||||
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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.