JERRY EUGENE GREEN (NPI# 1447439690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447439690 |
| Entity Type | Individual |
| Full Name | JERRY EUGENE GREEN |
| Credential | M.A. |
| Practice Address |
15 S Grady Way Ste 310 Renton WA 98057-3215 |
| Mailing Address |
7832 196th St Sw #15 Edmonds WA 98026-6556 |
| Practice Telephone | 4256521886 |
| Mailing Telephone | 4256521886 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
RC00015663 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992361497 | Jerry Wayne Green | Counselor | 2463 Waterside Dr, Grand Prairie, TX 75054-6806 | 2019-05-10 |
| 1497734347 | Jerry A. Green | Specialist | 67 Aunt Hack Rd, Danbury, CT 06811-2720 | 2006-01-10 |
| 1366449316 | Jerry Lee Green Jr. | Nurse Practitioner | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027-2332 | 2005-07-06 |
| 1437295284 | Jerry Allan Green | Dentist | 3932 Wilshire Blvd, Suite 100, Los Angeles, CA 90010-3307 | 2007-01-29 |
| Street Address |
15 S GRADY WAY STE 310 |
| City | RENTON |
| State | WA |
| Zip Code | 98057-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566219 | Michell Allert | Counselor | 15 S Grady Way Ste 310, Renton, WA 98057-3215 | 2018-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784376 | Integrated Wisdom Therapy, Pllc | Counselor | 1313 N 27th Ct, Renton, WA 98056-1443 | 2020-06-08 |
| 1114264892 | Rhiannon Marie Brill | Counselor | 15150 140th Way Se, #s201, Renton, WA 98058-7834 | 2013-01-14 |
| 1659584142 | Wendy Kincaide Ferreri | Counselor | 9806 S Carr Rd, Renton, WA 98055 | 2007-05-08 |
| 1467610444 | Karina L. Ray | Counselor | 401 Olympia Ave Ne, Suite 206, Renton, WA 98056-4117 | 2008-05-27 |
| 1508913716 | Valley Counseling Associates | Counselor | 9806 Se Carr Rd, Renton, WA 98055-5813 | 2007-01-03 |
| 1497802607 | Carol Stanley | Counselor | 9806 Se Carr Rd, Renton, WA 98055-5813 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990477 | Leticeia Scott | Counselor | 2618 Deschutes Pl Apt 3, Bremerton, WA 98312-6015 | 2020-10-23 |
| 1073128906 | David Scott Clees | Counselor | 118 Mocliff Rd, Ephrata, WA 98823-1532 | 2020-09-08 |
| 1326663311 | Second Fruit Wellness Services LLC | Counselor | 2800 E Evergreen Blvd Ste B, Vancouver, WA 98661-4934 | 2020-06-15 |
| 1831711100 | Shannon E. Stauffer | Counselor | 2804 Grand Ave Ste 304, Everett, WA 98201-3586 | 2020-05-10 |
| 1457972390 | Mindy Alexander Counseling | Counselor | 5913 Maryhill Ln, Pasco, WA 99301-8766 | 2020-05-01 |
| 1376162537 | Northwest Sexual Counseling | Counselor | 1616 W Wellesley Ave Ste B, Spokane, WA 99205-1413 | 2020-04-08 |
| 1053940502 | Katherine Lizbeth Morris | Counselor | 101 W 8th Ave # 2e, Spokane, WA 99204-2307 | 2020-04-06 |
| 1164058145 | Brooke Ann Enriquez | Counselor | 3606 Main St Ste 202, Vancouver, WA 98663-2235 | 2020-03-21 |
| 1881224624 | Erin Reyes | Counselor | 750 George Washington Way Ste 8, Richland, WA 99352-4247 | 2020-01-21 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
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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.