JOYCELYN GREEN (NPI# 1649879461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649879461 |
| Entity Type | Individual |
| Full Name | JOYCELYN GREEN |
| Practice Address |
1110 Clay St Vicksburg MS 39183-2912 |
| Practice Telephone | 6017385820 |
| Practice Fax Number | 6017385083 |
| Mailing Telephone | 6017385820 |
| Mailing Fax Number | 6017385083 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1110 CLAY ST |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39183-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902201460 | Trinity Prosthetic & Orthotics LLC | Prosthetic/Orthotic Supplier | 1110 Clay St, Vicksburg, MS 39183-2912 | 2014-10-27 |
| 1578160867 | La'toya Williams | Licensed Practical Nurse | 1110 Clay St, Vicksburg, MS 39183-2912 | 2020-10-08 |
| 1770198202 | Elicia Ross | Community Health Worker | 1110 Clay St, Vicksburg, MS 39183-2912 | 2020-09-11 |
| 1851902928 | Nora Tierra Walker | Case Manager/Care Coordinator | 1110 Clay St, Vicksburg, MS 39183-2912 | 2020-08-12 |
| 1134730203 | Ashley Rose Nevels | Case Manager/Care Coordinator | 1110 Clay St, Vicksburg, MS 39183-2912 | 2020-08-12 |
| 1003439787 | Maggie Brittany Roberts | Community Health Worker | 1110 Clay St, Vicksburg, MS 39183-2912 | 2020-05-28 |
| 1912537358 | Timithay Robinson | Case Manager/Care Coordinator | 1110 Clay St, Vicksburg, MS 39183-2912 | 2020-01-24 |
| 1770120255 | Nicole Robinson | Counselor | 1110 Clay St, Vicksburg, MS 39183-2912 | 2019-12-04 |
| 1801439880 | Emmarie Anderson-flaggs | Community Health Worker | 1110 Clay St, Vicksburg, MS 39183-2912 | 2019-10-23 |
| 1427691401 | Tammi Simms | Community Health Worker | 1110 Clay St, Vicksburg, MS 39183-2912 | 2019-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217823 | Tracy Curtis | Speech-Language Pathologist | 2100 Us 61, Vicksburg, MS 39183 | 2015-10-09 |
| 1649566894 | The Life Balance Clinic, Behavioral Health Service | Social Worker | 1107 B Openwood St., Vicksburg, MS 39183 | 2011-06-27 |
| 1245428788 | Melanie Joan Waldrop | Nurse Anesthetist, Certified Registered | 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183 | 2007-10-10 |
| 1871714477 | Robert Michael Coleman | Dentist | 2356 Grove Street, Vicksburg, MS 39183 | 2007-05-01 |
| 1942363502 | Visions Physical Therapy | Physical Therapist | 110 Holt Collier Dr, Vicksburg, MS 39183 | 2006-12-18 |
| 1023117991 | Janet S Fisher Dmd Pa | Dentist | 1212 Mission 66, Vicksburg, MS 39183 | 2006-09-21 |
| 1407878663 | Annette Bryant | Social Worker | 1107 Openwood St, Vicksburg, MS 39183 | 2006-07-24 |
| 1932168416 | Promise Hospital of Vicksburg Inc | Long Term Care Hospital | 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 | 2006-03-22 |
| 1164945374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2310 Clay St, Vicksburg, MS 39183 | 2017-07-19 |
| 1255777025 | Joyce Wanjugu Muruthi | Obstetrics & Gynecology | 2100 Highway 61 N, Vicksburg, MS 39183 | 2013-05-20 |
| Find all providers in zip 39183 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643069 | Zandral Kewan Green | Counselor | 3442 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2020-06-16 |
| 1629578729 | Kidzplay Community | Counselor | 1010 Monroe St, Vicksburg, MS 39183-2552 | 2018-02-15 |
| 1093214751 | Linda Sweezer Enterprises, LLC | Counselor | 1301 Holly St, Vicksburg, MS 39180-3665 | 2018-02-08 |
| 1760981773 | M & M Behavioral Health Center | Counselor | 1911 Mission 66 Ste G, Vicksburg, MS 39180-3762 | 2018-02-05 |
| 1932408382 | Tenecia Bullock | Counselor | 3334 Wisconsin Avenue, Warren-yazoo Mental Health Services, Vicksburg, MS 39180-2067 | 2011-03-24 |
| 1538475173 | Jonathan Reeves | Counselor | 4333 Wisconsin Ave., Vicksburg, MS 39180-2067 | 2010-08-20 |
| 1255657755 | Pamela Brookins | Counselor | 3444 Wisconsin Ave., Vicksburg, MS 39180-2067 | 2010-04-09 |
| 1598913881 | Lisa Hackett | Counselor | 3444 Wiscosin Ave., Vicksburg, MS 39180-2067 | 2008-08-29 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1740474915 | Joseph Daniel Johnson | Counselor | 1911 Mission 66 Ste B, Suite B, Vicksburg, MS 39180-3762 | 2007-08-30 |
| Find all providers in VICKSBURG | ||||
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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.