SPENCER GREEN (NPI# 1194154393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194154393 |
| Entity Type | Individual |
| Full Name | SPENCER GREEN |
| Practice Address |
211 W Main St Sterling CO 80751-3168 |
| Practice Telephone | 9705224549 |
| Practice Fax Number | 9705226898 |
| Mailing Telephone | 9705224549 |
| Mailing Fax Number | 9705226898 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710289103 | Spencer Green | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Las Vegas, NV 89128-0811 | 2010-11-17 |
| Street Address |
211 W MAIN ST |
| City | STERLING |
| State | CO |
| Zip Code | 80751-3168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165138 | Brittney Lumpkin | Counselor | 211 W Main St, Sterling, CO 80751-3168 | 2019-10-11 |
| 1942865639 | Michele Marostica | Counselor | 211 W Main St, Sterling, CO 80751-3168 | 2019-05-08 |
| 1508338625 | Gina Ashmore | Counselor | 211 W Main St, Sterling, CO 80751-3168 | 2018-12-31 |
| 1740751585 | Jennifer Hadley | Behavior Technician | 211 W Main St, Sterling, CO 80751-3168 | 2018-12-05 |
| 1457826430 | Cody Jenkins | Behavior Technician | 211 W Main St, Sterling, CO 80751-3168 | 2018-10-05 |
| 1619452984 | Camron Morton | Behavior Technician | 211 W Main St, Sterling, CO 80751-3168 | 2018-10-02 |
| 1639654916 | Francesca Nelson | Behavior Technician | 211 W Main St, Sterling, CO 80751-3168 | 2018-10-02 |
| 1790261741 | Timothy Murray | Social Worker | 211 W Main St, Sterling, CO 80751-3168 | 2018-07-12 |
| 1881170801 | Bonita Deering | Counselor | 211 W Main St, Sterling, CO 80751-3168 | 2018-07-12 |
| 1679059786 | Kirstyn Fritzler | Social Worker | 211 W Main St, Sterling, CO 80751-3168 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
| 1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
| 1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
| 1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
| 1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
| 1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
| 1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
| Find all providers in zip 80751 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750946869 | Kim Matthew Kavanaugh | Counselor | 34090 Arabian Court, Sterling, AK 99672 | 2019-05-03 |
| 1144641523 | Olusola Edwards | Counselor | 21335 Signal Hill Plz Ste 250, Sterling, VA 20164-5567 | 2014-01-02 |
| 1215221114 | Michael Nelsen | Counselor | 45546 Reading Ter, Sterling, VA 20166-3052 | 2011-06-08 |
| 1033410253 | Jason Kent Brown | Counselor | 1305 Avenue I, Sterling, IL 61081-2138 | 2010-11-04 |
| 1336234590 | Ruth Ellen Attebury | Counselor | 101 E Holly Ave, Sterling, VA 20164-5402 | 2006-10-04 |
| 1790274579 | Mandi Rogers | Counselor | 216 N 3rd St, Sterling, CO 80751-4302 | 2018-05-07 |
| 1669916185 | Nuleaf Counseling Center | Counselor | 1402 S 3rd Ave, Sterling, CO 80751-4650 | 2016-12-19 |
| 1245780055 | Gilberto Perez | Counselor | 2611 Woodlawn Rd, Sterling, IL 61081-4151 | 2016-10-05 |
| 1831574466 | Rachelle Buchanan | Counselor | 1402 S 3rd Ave, Sterling, CO 80751 | 2015-07-24 |
| 1508267816 | Alix Leah Mcmurray | Counselor | 118 Main St, Suite 204/206, Sterling, CO 80751-4370 | 2014-09-07 |
| Find all providers in STERLING | ||||
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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.