JASON GREEN (NPI# 1215358999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215358999 |
| Entity Type | Individual |
| Full Name | JASON GREEN |
| Practice Address |
1370 S State St Suite A San Jacinto CA 92583-4933 |
| Practice Telephone | 9517913350 |
| Mailing Telephone | 9517913350 |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2017-04-27 |
| 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 |
|---|---|---|---|---|
| 1205341757 | Jason D Green | Non-emergency Medical Transport (VAN) | 275 E Vista Ridge Mall Dr, Lewisville, TX 75067-4016 | 2017-12-06 |
| 1841626801 | Jason Warren Green | Podiatrist | 405 Hillandale Rd, Spring Lake, NC 28390-1743 | 2013-09-23 |
| 1154609923 | Jason Wesley Green | Internal Medicine | 1940 Alcoa Hwy Ste 210, Knoxville, TN 37920-2264 | 2011-07-28 |
| 1770896979 | Jason Thomas Green | Counselor | 1401 N Michael Way, #g133, Las Vegas, NV 89108-1491 | 2010-07-16 |
| 1275764284 | Jason Thomas Green | Chiropractor | 7726 Center Blvd Se Ste 230, Snoqualmie, WA 98065-8748 | 2009-08-07 |
| 1427167261 | Jason Green | Dermatology | 5721 Ne 27th Ave, Fort Lauderdale, FL 33308-2703 | 2006-08-29 |
| 1316051188 | Jason Robert Green | Physical Therapist | 62 Rockford Rd, Wilmington, DE 19806-1047 | 2006-08-18 |
| 1285267583 | Jason A Green | Nurse Practitioner | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2020-02-15 |
| 1346891660 | Jason Green | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-09-27 |
| 1528528486 | Jason Lamont Green | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2019-03-25 |
| Street Address |
1370 S STATE ST SUITE A |
| City | SAN JACINTO |
| State | CA |
| Zip Code | 92583-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558406900 | Gregory W. White | Social Worker | 1370 S State St, San Jacinto, CA 92583-4933 | 2007-02-21 |
| 1376168674 | Mary Johanson | Marriage & Family Therapist | 1370 S State St, San Jacinto, CA 92583-4933 | 2020-06-11 |
| 1992320469 | Pilar Raygoza | Marriage & Family Therapist | 1370 S State St, San Jacinto, CA 92583-4933 | 2020-06-10 |
| 1912493115 | Alan Geoffrey Schmidt | Counselor | 1370 S State St, San Jacinto, CA 92583-4933 | 2018-07-11 |
| 1104202639 | Morgan Felton | Behavioral Analyst | 1370 S State St, Suite B, San Jacinto, CA 92583-4933 | 2015-08-06 |
| 1124409362 | Benjamin Wahl | Social Worker | 1370 S State St, Suite B, San Jacinto, CA 92583-4933 | 2015-06-13 |
| 1114264215 | Ralph Jorge | Counselor | 1370 S State St, B, San Jacinto, CA 92583-4933 | 2013-01-09 |
| 1760728844 | Lorraine Anita Gonzalez | Counselor | 1370 S State St, Suite B, San Jacinto, CA 92583-4933 | 2012-12-18 |
| 1134478845 | Karla Torres | Counselor | 1370 S State St, San Jacinto, CA 92583-4933 | 2012-09-10 |
| 1942591011 | Charmel Bolster X | Counselor | 1370 S State St, Suite B, San Jacinto, CA 92583-4933 | 2011-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1295399632 | Suhaila Mahjabeen Arif | Student in an Organized Health Care Education/Training Program | 651 North State Street, San Jacinto, CA 92583 | 2019-04-30 |
| 1083146328 | United Family Pharmacy, LLC | Pharmacy | 1221 S. San Jacinto Ave, San Jacinto, CA 92583 | 2017-03-28 |
| 1699127118 | Matthew Siragusa | Dental Assistant | 792 Salinger Pl, San Jacinto, CA 92583 | 2016-07-08 |
| 1326431966 | Empire Mobility | Durable Medical Equipment & Medical Supplies | 1499 Old Mountain Ave, Spc127, San Jacinto, CA 92583 | 2015-03-06 |
| 1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
| 1770831489 | Neelam Gupta M.d. Inc. | Clinic/Center | 343 E Main Street, 106, San Jacinto, CA 92583 | 2012-08-28 |
| 1407154040 | Elizabeth Santillana Contla | Registered Nurse | 1370 S. State Street, Ste B, San Jacinto, CA 92583 | 2011-03-07 |
| 1902125636 | Tonnette Na Ellis | Counselor | 1854 Hemet St, San Jacinto, CA 92583 | 2010-05-20 |
| 1851525315 | Lydia Meria Reece | Physician Assistant | 229 West 7th Street, San Jacinto, CA 92583 | 2009-05-12 |
| Find all providers in zip 92583 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695604 | Wendi Witherell | Counselor | 1307 S State St Ste A, San Jacinto, CA 92583-4901 | 2018-10-22 |
| 1851719298 | Sharon Jackson | Counselor | 1604 S Santa Fe Ave Ste 603, San Jacinto, CA 92583-5062 | 2014-04-02 |
| 1508105461 | Russel Albert Arnett IIi | Counselor | 1391 Rojo Ln, San Jacinto, CA 92582-4203 | 2013-02-12 |
| 1184816241 | Michael Ramirez | Counselor | 1604 S Santa Fe Ave # 403, San Jacinto, CA 92583-5060 | 2007-08-13 |
| 1013041771 | Linda Darden | Counselor | 2220 Girard St, San Jacinto, CA 92583-5301 | 2007-03-15 |
| 1265068423 | Michele Kamphuis | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2020-03-19 |
| 1235779539 | Erica Wood | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2020-01-14 |
| 1518518026 | Isabel Ntekim | Counselor | 2220 Girard St, San Jacinto, CA 92583-5301 | 2019-09-25 |
| 1831747617 | Kristina Theresa Voight | Counselor | 2220 Girard St, San Jacinto, CA 92583-5301 | 2019-08-26 |
| 1598321085 | Dominique Jasmine Johnson | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2019-05-10 |
| Find all providers in SAN JACINTO | ||||
| City | SAN JACINTO |
| Zip Code | 92583 |
Please comment or provide details below to improve the information on JASON 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.