JAYNE' GREEN (NPI# 1689061301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689061301 |
| Entity Type | Individual |
| Full Name | JAYNE' GREEN |
| Practice Address |
1919 John Wesley Ave. College Park GA 30337 |
| Mailing Address |
771 Florigen Ln Fairburn GA 30213-3294 |
| Practice Telephone | 4047629190 |
| Mailing Telephone | 9548804203 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
APC004817 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3915 Cascade Rd., #250, Atlanta, GA 30331 | 4046993170 |
| Street Address |
1919 JOHN WESLEY AVE. |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360768 | Advant Therapy Services LLC | Speech-Language Pathologist | 4827 Old National Hwy, Pmb 1619, College Park, GA 30337 | 2019-11-07 |
| 1093288318 | Kevin Ramone Larkins | Counselor | 191 John Wesley Ave, College Park, GA 30337 | 2019-01-09 |
| 1013482553 | Michael Uchenna Okenchi | Nurse Practitioner | 3715 Atlanta St, Atlanta, GA 30337 | 2018-10-11 |
| 1962993436 | Bridges of Success, Inc. | Counselor | 3707 Main St, #10, College Park, GA 30337 | 2018-05-21 |
| 1427568245 | Andrienne Ignatia Terrell | Specialist/Technologist | 600 N Terminal Hartsfield-jackson Airport, Atlanta, GA 30337 | 2017-10-06 |
| 1710408745 | Tiffany Godwin | Specialist/Technologist | 600 N Terminal Hartsfield-jackon International Airport, Atlanta, GA 30337 | 2017-06-29 |
| 1104288240 | Susan Elizabeth Northrup | Preventive Medicine | 1701 Columbia Avenue, Federal Aviation Administration, Aso-300, College Park, GA 30337 | 2016-03-28 |
| 1023412897 | Progressive Health Aviation Services | Clinic/Center | 600 N Terminal, Hartsfield-jackson Atlanta International Airport, Atlanta, GA 30337 | 2014-10-22 |
| 1578805453 | Talib El | Counselor | 2615 Roosevelt Highway, Atlanta, GA 30337 | 2013-03-19 |
| 1104179837 | Marquise Calhoun James | Massage Therapist | 1782 Lyle Ave, Unit 2, College Park, GA 30337 | 2012-10-18 |
| Find all providers in zip 30337 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578071 | Iyea Brandy | Counselor | 1903 Phoenix Blvd, College Park, GA 30349-5754 | 2020-05-05 |
| 1780221762 | Choosing Joy Health Center | Counselor | 10101 Baltimore Ave Apt 1208, College Park, MD 20740-4220 | 2019-12-09 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1447753157 | Lakiesha Hampton | Counselor | 4098 Robin Cir, College Park, GA 30349-1663 | 2018-03-09 |
| 1346769544 | Queenesha Grace Maedell Herbert | Counselor | 9308 Cherry Hill Rd Apt 615, College Park, MD 20740-1238 | 2017-09-19 |
| 1740734185 | Marlene Joseph | Counselor | 6315 Lamp Post Pl, College Park, GA 30349-8829 | 2016-08-13 |
| 1922465707 | Phillippe Louis | Counselor | 1515 Garden Wood Dr, College Park, GA 30349-6285 | 2016-01-25 |
| 1912385618 | Pamela Hapson | Counselor | 3745 Feldwood Pl, 3, College Park, GA 30349-2923 | 2015-05-13 |
| 1629410907 | Darleen Claire Wodzenski | Counselor | 2725 Charlestown Dr, College Park, GA 30337-3909 | 2013-07-26 |
| 1497023774 | Jireh Counseling and Consulting Services, Inc. | Counselor | 5522 Old National Hwy, Bldg C, Suite A-b, College Park, GA 30349-3212 | 2011-12-01 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 30337 |
Please comment or provide details below to improve the information on JAYNE' 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.