CARLA JAY GREEN (NPI# 1275151128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275151128 |
| Entity Type | Individual |
| Full Name | CARLA JAY GREEN |
| Credential | LCAS-A |
| Practice Address |
665 W 4th St Winston Salem NC 27101-2701 |
| Mailing Address |
1730 Franciscan Ter Apt H Winston Salem NC 27127-7708 |
| Practice Telephone | 3367258389 |
| Practice Fax Number | 3367256628 |
| Mailing Telephone | 2405506452 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
26024 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386079911 | Carla M Green | Massage Therapist | 370 Strand Ave, Missoula, MT 59801-5715 | 2013-09-13 |
| 1932618469 | Carla Delynn Green | Nurse Practitioner | 2340 E Main St, Cushing, OK 74023-2905 | 2017-09-27 |
| 1588004766 | Carla L Green | Registered Nurse | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2013-07-02 |
| Street Address |
665 W 4TH ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275668907 | Partnership for A Drug Free Nc, Inc | Counselor | 665 W 4th St, Winston Salem, NC 27101-2701 | 2007-02-22 |
| 1649885435 | Katherine Margaret Atkins | Counselor | 665 W 4th St, Winston Salem, NC 27101-2701 | 2020-09-09 |
| 1245848043 | Michala Chandler Washburn | Counselor | 665 W 4th St, Winston Salem, NC 27101-2701 | 2020-07-17 |
| 1366060089 | Ja'kayla Monique Hill | Social Worker | 665 W 4th St, Winston Salem, NC 27101-2701 | 2020-07-09 |
| 1578101069 | John T Anderson II | Counselor | 665 W 4th St, Winston Salem, NC 27101-2701 | 2019-12-15 |
| 1164069142 | Emily Scott Krewson | Counselor | 665 W 4th St, Winston Salem, NC 27101-2701 | 2019-12-09 |
| 1497249197 | Everardo Aviles Ruiz | Social Worker | 665 W 4th St, Winston Salem, NC 27101-2701 | 2018-06-18 |
| 1073005039 | Catherine Woodford | Social Worker | 665 W 4th St, Winston Salem, NC 27101-2701 | 2018-06-05 |
| 1477045862 | Cory Bates | Social Worker | 665 W 4th St, Winston Salem, NC 27101-2701 | 2018-06-01 |
| 1265950869 | Ciarra Steen | Social Worker | 665 W 4th St, Winston Salem, NC 27101-2701 | 2017-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215566385 | Sherrie Nicole Fogg | Counselor | 215 Braeburn Dr, Winston Salem, NC 27127-4691 | 2020-04-02 |
| 1831721968 | Olivia Henderson Smith | Counselor | 1 Medical Center Blvd 5th Floor Watlington Hall, Winston Salem, NC 27157-0001 | 2020-02-06 |
| 1578110805 | Elevation Counseling Services Pllc | Counselor | 1922 S Martin Luther King Jr Dr Ste 27, Winston Salem, NC 27107-1361 | 2019-08-21 |
| 1356900898 | Kendal Simeon Brown | Counselor | 4830 Tutelo Trl, Winston Salem, NC 27127-9419 | 2019-06-09 |
| 1497216667 | Larry Lamont Joe Jr. | Counselor | 1348 Westgate Center Dr Ste 204, Winston Salem, NC 27103-2984 | 2019-03-28 |
| 1558829994 | Esther Fredrica Dixon | Counselor | 326 N Spring St, Winston Salem, NC 27101-2722 | 2019-03-05 |
| 1609383736 | Stephanie Gimenez | Counselor | 163 Stratford Ct Ste 225, Winston Salem, NC 27103-1836 | 2018-01-10 |
| 1194239665 | Brandon Andre Jevon James | Counselor | 1922 S Martin Luther King Jr Dr Ste 225, Winston Salem, NC 27107-1361 | 2017-11-20 |
| 1417484304 | Jessica Lynn Vaughn | Counselor | 3640 Westgate Center Cir Ste A, Winston Salem, NC 27103 | 2017-05-22 |
| 1316472475 | Wendy Marshall | Counselor | 5078 Leeshire Way, Winston Salem, NC 27106-1870 | 2017-04-26 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
Please comment or provide details below to improve the information on CARLA JAY 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.