CARLA JAY GREEN


Address: 665 W 4th St, Winston Salem, NC 27101-2701
Phone: 3367258389

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).

Provider Overview

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

Taxonomy

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

Other Providers CARLA GREEN

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

Office Location

Street Address 665 W 4TH ST
City WINSTON SALEM
State NC
Zip Code 27101-2701

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City WINSTON SALEM
Zip Code 27101

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Dataset Information

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.

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