MRS. CARRY L GREEN (NPI# 1447318282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447318282 |
| Entity Type | Individual |
| Full Name | MRS. CARRY L GREEN |
| Credential | MA LMHP LPC |
| Practice Address |
9014 S Central Ave Phoenix AZ 85042-8304 |
| Mailing Address |
3620 N 3rd St Phoenix AZ 85012-2020 |
| Practice Telephone | 6022307373 |
| Practice Fax Number | 6022305105 |
| Mailing Telephone | 6022307373 |
| Mailing Fax Number | 6022305105 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2389 | NE | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-17306 | AZ | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
1316 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUE CROSS BLUE SHIELD | 84002 | 01 |
| NE | MIDLANDS CHOICE | 234934 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2222 S 16th St, Suite 210, Lincoln, NE 685023796 | 4028907434 | 4023288383 |
| Street Address |
9014 S CENTRAL AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-8304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004626 | Alejandra Ramirez | Counselor | 9014 S Central Ave, Phoenix, AZ 85042-8304 | 2020-05-14 |
| 1124650429 | Jennifer Beitel | Social Worker | 9014 S Central Ave, Phoenix, AZ 85042-8304 | 2020-02-05 |
| 1861030140 | Leandre U Rwasine | Registered Nurse | 9014 S Central Ave, Phoenix, AZ 85042-8304 | 2019-12-17 |
| 1295371342 | Jacqueline Rogers | Social Worker | 9014 S Central Ave, Phoenix, AZ 85042-8304 | 2019-11-25 |
| 1578109211 | Darcy Machado | Social Worker | 9014 S Central Ave, Phoenix, AZ 85042-8304 | 2019-11-18 |
| 1982268611 | Jordan Rasmussen | Counselor | 9014 S Central Ave, Phoenix, AZ 85042-8304 | 2019-04-29 |
| 1144734393 | Joy O. Ageh | Counselor | 9014 S Central Ave, Phoenix, AZ 85042-8304 | 2017-11-27 |
| 1063942738 | Patricia Chase | Counselor | 9014 S Central Ave, Phoenix, AZ 85042-8304 | 2017-06-15 |
| 1811424757 | Devan Mckenzie | Counselor | 9014 S Central Ave, Phoenix, AZ 85042-8304 | 2017-05-22 |
| 1578097077 | Stephanie Kwakye | Family Medicine | 9014 S Central Ave, Phoenix, AZ 85042-8304 | 2017-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
| 1447863683 | Mindscape Wellness LLC | Counselor | 4545 N 36th St Ste 117, Phoenix, AZ 85018-3473 | 2020-08-27 |
| 1700496718 | Suma Hodge | Counselor | 2341 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-08-04 |
| 1992322127 | North Pointe Services | Counselor | 1807 W Sienna Bouquet Pl, Phoenix, AZ 85085-8042 | 2020-07-03 |
| 1023630308 | Mary Squires Moran | Counselor | 14040 N Cave Creek Rd Ste 205, Phoenix, AZ 85022-6179 | 2020-05-10 |
| 1467087106 | Omnipotent Health Services | Counselor | 3442 W Paradise Dr, Phoenix, AZ 85029-2239 | 2020-03-03 |
| 1124650536 | Erica Van Parys | Counselor | 3207 E Medlock Dr, Phoenix, AZ 85018-1426 | 2020-02-05 |
| 1790324556 | Amy Kathleen Engle | Counselor | 2432 W Peoria Ave Ste 1123, Phoenix, AZ 85029-4733 | 2019-12-26 |
| 1851934012 | Extinguishing Fear Life Coaching | Counselor | 4435 E Chandler Blvd, Phoenix, AZ 85048-7649 | 2019-10-21 |
| 1134761661 | Kerry Jean Ramella | Counselor | 809 W Maryland Ave, Phoenix, AZ 85013-1325 | 2019-10-16 |
| Find all providers in PHOENIX | ||||
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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.