STACY L. GREEN (NPI# 1447346911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447346911 |
| Entity Type | Individual |
| Full Name | STACY L. GREEN |
| Practice Address |
714 West Main St. Grass Valley CA 95945 |
| Mailing Address |
714 W. Main St Grass Valley CA 95945 |
| Practice Telephone | 5304779800 |
| Practice Fax Number | 5304779803 |
| Mailing Telephone | 5304779800 |
| Mailing Fax Number | 5304779803 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ASW31786 | CA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | ASW31786 | CA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | ASW16266 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558686162 | Stacy Robin Green | Counselor | 3985 Wonderland Hill Ave Ste 103, Boulder, CO 80304-1038 | 2010-04-07 |
| 1366062754 | Stacy P Green | Nurse Practitioner | 5646 Read Blvd Ste 380, New Orleans, LA 70127-3148 | 2020-04-26 |
| 1679119754 | Stacy Nicole Green | Social Worker | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2019-11-22 |
| 1568937050 | Stacy Wayne Green | Physical Therapy Assistant | 1907 Refinery Rd, Gainesville, TX 76240-2111 | 2018-10-10 |
| 1811481047 | Stacy L Green | Behavior Technician | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2018-06-20 |
| 1326416181 | Stacy Katrina Green | Marriage & Family Therapist | 900 Church St, D2, Laurens, SC 29360-1668 | 2015-09-10 |
| 1558777094 | Stacy Lynn Green | Occupational Therapy Assistant | 525 Glenburn Ave, Cambridge, MD 21613-1414 | 2014-07-04 |
| 1245590900 | Stacy A Green | Home Health Aide | 6480 New Hampshire Ave, Takoma, MD 20912 | 2012-05-29 |
| 1437481074 | Stacy Jo Green | Nurse Practitioner | 120 Washington Towne Blvd N, Edinboro, PA 16412-1254 | 2010-02-08 |
| 1265598361 | Stacy Jaye Green | Social Worker | 500 College Ave, Worth Health Center - North Wing, Swarthmore, PA 19081-1306 | 2006-12-31 |
| Street Address |
714 WEST MAIN ST. |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1689175853 | Jonathan Richard Harvey | Counselor | 214 Catherine Ln, Grass Valley, CA 95945-5802 | 2018-02-23 |
| 1720589260 | California Mental Health Counseling | Counselor | 120 N Auburn St Ste 212, Grass Valley, CA 95945-6277 | 2018-02-21 |
| 1598272858 | Priscilla Willmott | Counselor | 412 E Main St Ste E, Grass Valley, CA 95945-6533 | 2018-01-08 |
| 1174034276 | Sam Luke Sohmer | Counselor | 228 Lloyd St, Grass Valley, CA 95945-6620 | 2017-10-16 |
| 1952841280 | Oscar Perez | Counselor | 200 Richardson St, Grass Valley, CA 95945-6227 | 2017-03-06 |
| 1255799060 | Chelsea Rose Pires | Counselor | 101 W Mcknight Way, Ste B307, Grass Valley, CA 95949-9613 | 2016-02-08 |
| 1285025486 | Nicole Frances Lescher | Counselor | 1262 Sutton Way, Grass Valley, CA 95945-5175 | 2015-02-09 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1043626872 | Rebecca Johnson | Counselor | 12645 La Barr Meadows Rd, Grass Valley, CA 95949-7719 | 2014-07-01 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
Please comment or provide details below to improve the information on STACY L. 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.