FREDDIE GREEN (NPI# 1164561916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164561916 |
| Entity Type | Individual |
| Full Name | FREDDIE GREEN |
| Credential | CAC,CCDP |
| Practice Address |
33 State Ave Carlisle PA 17013-4432 |
| Practice Telephone | 7172436033 |
| Practice Fax Number | 7172430776 |
| Mailing Telephone | 7172436033 |
| Mailing Fax Number | 7172430776 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
33 STATE AVE |
| City | CARLISLE |
| State | PA |
| Zip Code | 17013-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124000609 | Henry J Wehman | Psychiatry & Neurology | 33 State Ave, Carlisle, PA 17013-4432 | 2005-11-18 |
| 1366945107 | Corey Keys | Behavioral Analyst | 33 State Ave, Carlisle, PA 17013-4432 | 2018-03-16 |
| 1144723784 | Erin Rose Bishop | Behavioral Analyst | 33 State Ave, Carlisle, PA 17013-4432 | 2018-03-09 |
| 1871946384 | Lynn Mccullough | Social Worker | 33 State Ave, Carlisle, PA 17013-4432 | 2016-07-20 |
| 1568836476 | Elias Jumper | Behavioral Analyst | 33 State Ave, Carlisle, PA 17013-4432 | 2015-11-17 |
| 1417329558 | April Kadlecik Portanova | Behavioral Analyst | 33 State Ave, Carlisle, PA 17013-4432 | 2015-10-28 |
| 1710358866 | Colleen Young-wetzel | Behavioral Analyst | 33 State Ave, Carlisle, PA 17013-4432 | 2015-10-15 |
| 1568864668 | Jessie Elaine Harpel-fickes | Counselor | 33 State Ave, Carlisle, PA 17013-4432 | 2014-09-19 |
| 1063784650 | Melanie Jones Haynes | Counselor | 33 State Ave, Carlisle, PA 17013-4432 | 2012-01-30 |
| 1992077507 | Jaime Lyn Gibson | Counselor | 33 State Ave, Carlisle, PA 17013-4432 | 2012-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
| 1922578400 | Nicole Gift | Physical Therapy Assistant | Claremont Nursing and Rehab Center, 1000 Claremont Road, Carlisle, PA 17013 | 2018-11-28 |
| 1841713542 | Christine Brehm-stroman | Dental Hygienist | 197 Acre Dr, Carlisle, PA 17013 | 2017-07-25 |
| 1316317050 | Delyara Mamedova | Social Worker | 800 Belvedere Street, Carlisle, PA 17013 | 2015-10-06 |
| 1033596200 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 841 Sumner Road, Bldg. 844, Carlisle Barracks, PA 17013 | 2015-04-27 |
| 1881010809 | Rachel Albright | Social Worker | 401 East Louther St, Suite 219, Carlisle, PA 17013 | 2014-03-14 |
| 1386071363 | Leslie Gail Carr | Registered Nurse | 100 N. Hanover St., Sadler Health Center - Nurse - Family Partnership, Carlisle, PA 17013 | 2013-10-04 |
| 1447518022 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Building 844 Main Exchange, Carlisle Barracks, PA 17013 | 2012-05-02 |
| 1407114309 | Elizabeth Robinson | Pharmacist | 302 York Road, Carlisle, PA 17013 | 2012-04-27 |
| 1639435530 | Bruce Kugler Storms | Social Worker | 406 E. Old York Road, Carlisle, PA 17013 | 2012-04-04 |
| Find all providers in zip 17013 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598164 | Mw Careerlink, LLC | Counselor | 510 1st St, Carlisle, PA 17013-1803 | 2018-12-03 |
| 1255767570 | Susan L. Unger | Counselor | 401 E Louther St, Suite 213, Carlisle, PA 17013-2657 | 2013-09-18 |
| 1164402905 | Karen M Jaskot | Counselor | 26 State Ave, Carlisle, PA 17013-4457 | 2006-01-18 |
| 1487635124 | Laurie E. Pearl | Counselor | 450 Gibner Rd, Carlisle, PA 17013-5003 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896851 | Laurelcare South/west LLC | Counselor | 1200 Brooks Ln Ste 210, Jefferson Hills, PA 15025-3761 | 2020-09-23 |
| 1750993325 | Dennis Lee Haynes Jr. | Counselor | 3501 Forbes Ave Fl 9, Pittsburgh, PA 15213-3317 | 2020-08-17 |
| 1992314850 | Finding Her Way, LLC | Counselor | 501 Valley Brook Rd Ste 204b, Mc Murray, PA 15317-3428 | 2020-07-27 |
| 1922626035 | Jane-marie Kennedy | Counselor | 2970 Corporate Ct Ste 1, Orefield, PA 18069-3158 | 2020-07-07 |
| 1871110270 | Randy Paul Macsisak | Counselor | 451 Chew St Ste 106, Allentown, PA 18102-3412 | 2020-07-01 |
| 1215554233 | Scott T Reiman | Counselor | 1224 Whitehall Ave, Easton, PA 18045-5621 | 2020-06-26 |
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1902420425 | Harry Shane Falwell | Counselor | 2203 W Liberty St, Allentown, PA 18104-4323 | 2020-06-01 |
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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.