MARY SUE GREEN (NPI# 1689818411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689818411 |
| Entity Type | Individual |
| Full Name | MARY SUE GREEN |
| Other Name | MARY SUE TOBEN |
| Credential | LMFT |
| Practice Address |
8150 Us Highway 287 Childress TX 79201-7152 |
| Mailing Address |
804 Combs St Quanah TX 79252-4444 |
| Practice Telephone | 9405363644 |
| Mailing Telephone | 9405363644 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2016-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
201547 | TX | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
000311 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173548 | Mary Green | Technician | 1011 Patch St, Beckley, WV 25801-6837 | 2020-08-05 |
| 1003450388 | Mary Elizabeth Green | Licensed Practical Nurse | 650 Highland Ave # 100, Winston Salem, NC 27101-4304 | 2019-10-30 |
| 1861049033 | Mary Elizabeth Green | Technician | 9127 Rt240, West Valley, NY 14171 | 2019-08-22 |
| 1154827350 | Mary Etosha Green | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd Winston Salem, Winston Salem, NC 27157-0001 | 2018-04-05 |
| 1760860456 | Mary Green | Student in an Organized Health Care Education/Training Program | 11655 Briar Forest Dr, 31, Houston, TX 77077-5023 | 2015-05-13 |
| 1073941415 | Mary Fisher Green | Physician Assistant | 1120 15th St # Af-2044, Augusta, GA 30912-3040 | 2013-10-22 |
| 1790031441 | Mary T Green | Home Health Aide | 2419 Adamsway Dr, Aurora, IL 60502-9076 | 2012-07-31 |
| 1659680569 | Mary Elizabeth Green | Social Worker | 400 N Main St Ste 3, Manahawkin, NJ 08050-3730 | 2010-09-27 |
| 1750524948 | Mary O. Green | Case Manager/Care Coordinator | 7684 Greenridge Ct, Douglasville, GA 30134-3762 | 2009-04-17 |
| 1487835617 | Mary Kelly Green | Ophthalmology | 204 Gateway N, Suite A, Marble Falls, TX 78654-6361 | 2007-11-15 |
| Street Address |
8150 US HIGHWAY 287 |
| City | CHILDRESS |
| State | TX |
| Zip Code | 79201-7152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124526678 | Room To Grow: Therapy, Supervision, Consultation, Pllc | Marriage & Family Therapist | 8150 Us Highway 287, Childress, TX 79201-7152 | 2018-01-30 |
| 1255794954 | Parris Green | Counselor | 8150 Us Highway 287, Childress, TX 79201-7152 | 2016-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567684 | Amie Hope Thomas | Counselor | 132 N Main St Ste D, Childress, TX 79201 | 2019-09-16 |
| 1710465182 | Tara Sims | Counselor | 101 Avenue C Ne, Childress, TX 79201 | 2018-07-30 |
| 1013391242 | Amanda Jo Browning Tucker | Optometrist | 707 Avenue F Nw, Childress, TX 79201 | 2015-07-17 |
| 1811332257 | Childress Outpost Pharmacy Inc | Pharmacy | 805 Hwy 83 N., Childress, TX 79201 | 2013-04-29 |
| 1700196748 | Cheryl Lynn Gary | Nurse Practitioner | 901 Hwy 83, Childress, TX 79201 | 2010-10-08 |
| 1205093341 | Dr Lendon Davis | Optometrist | 500 2nd St Ne, Childress, TX 79201 | 2008-05-16 |
| 1871777805 | Aimee Bowman | Physical Therapist | 901 Hwy 83 North, Childress, TX 79201 | 2007-12-27 |
| 1386726628 | Joseph Steele | Anesthesiology | 901 Highway 83 North, Childress, TX 79201 | 2006-10-19 |
| 1235220880 | Peter N Jones | Nurse Practitioner | 1001 Us Hwy 83 N, Childress, TX 79201 | 2006-09-27 |
| 1174625362 | Childress County Hospital District | Clinic/Center | 910 Rear Oak Lane, Childress, TX 79201 | 2006-09-01 |
| Find all providers in zip 79201 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567684 | Amie Hope Thomas | Counselor | 132 N Main St Ste D, Childress, TX 79201 | 2019-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013043 | Shayla H Rumsey | Counselor | 1137f Burton Hill Rd, Fort Worth, TX 76114-4530 | 2020-11-05 |
| 1407457385 | Rachel Marie Trembley | Counselor | 10403 School House Ln, Austin, TX 78750-1728 | 2020-11-05 |
| 1619578614 | Naquasha Riser | Counselor | 9415 Mcneil Dr Apt 623, Austin, TX 78750-8560 | 2020-11-05 |
| 1851992143 | Sheri Lynn Brown | Counselor | 11803 Briarwood Ln, Montgomery, TX 77356-5496 | 2020-11-04 |
| 1356942544 | Abigail Ibitoye | Counselor | 6300 Ridglea Pl Ste 425, Fort Worth, TX 76116-5704 | 2020-11-04 |
| 1669073037 | Lifehouse Professional Counseling Pllc | Counselor | 6602 Polaris Dr Ste 1, Laredo, TX 78041-2082 | 2020-11-03 |
| 1891396313 | On Epiphany Lane, LLC | Counselor | 603 Munger Ave Ste 100, Dallas, TX 75202-1840 | 2020-11-02 |
| 1336749597 | Ebony Jackson | Counselor | 11510 Homestead Rd Ste 295, Houston, TX 77016-1237 | 2020-10-27 |
| 1932709482 | Alexxis Nicole Warford | Counselor | 505 W University Ave Ste 105, Georgetown, TX 78626-6643 | 2020-10-26 |
| 1487253951 | Shanler Leigh Hoover | Counselor | 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 | 2020-10-25 |
| 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.