SHANNON GREEN (NPI# 1760798920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760798920 |
| Entity Type | Individual |
| Full Name | SHANNON GREEN |
| Practice Address |
311 S Madison Ave Tulsa OK 74120-3208 |
| Practice Telephone | 9185820061 |
| Mailing Telephone | 9185820061 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194245969 | Shannon Laray Green | Counselor | 3800 Dalecrest Dr Unit 2109, Las Vegas, NV 89129-1769 | 2017-06-22 |
| 1760910079 | Shannon Green | Social Worker | 401 Whitney Ave Ste 320, Gretna, LA 70056-2502 | 2017-05-31 |
| 1942434295 | Shannon Green | Licensed Practical Nurse | 821 N Main Rd Apt 45a, Vineland, NJ 08360-8219 | 2009-05-14 |
| 1720254261 | Shannon Becker Green | Obstetrics & Gynecology | 5215 Loughoro Road Nw, Suite 500, Washington, DC 20016-2633 | 2008-05-05 |
| 1609070572 | Shannon Green | Marriage & Family Therapist | 1055 El Camino Dr, F-100, Costa Mesa, CA 92626-5574 | 2007-06-13 |
| 1164573275 | Shannon Green | Nutritionist | 1011 Ingleside Ave, Catonsville, MD 21228-1318 | 2007-01-15 |
| 1992772073 | Shannon Green | Nurse Practitioner | 2 Innovation Drive, Suite 140, Greenville, SC 29605-5263 | 2006-03-07 |
| 1750995270 | Shannon Marie Green | Nurse Practitioner | 1 Hospital Dr, Columbia, MO 65212-1001 | 2020-09-02 |
| 1427618412 | Shannon Green | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2019-06-20 |
| 1811550999 | Shannon Green | Student in an Organized Health Care Education/Training Program | 112 Squire Hall, Buffalo, NY 14214-8006 | 2019-04-15 |
| Street Address |
311 S MADISON AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74120-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306905096 | Youth Services of Tulsa | Community/Behavioral Health | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2006-12-08 |
| 1528604683 | Monica Darnell | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2019-11-25 |
| 1205305851 | Jose Marino | Case Manager/Care Coordinator | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2018-11-13 |
| 1285163485 | Brittne Thompson | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2017-06-09 |
| 1336685007 | Jennifer Grosso | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2017-01-18 |
| 1235680497 | Jessica Richardson | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2016-10-21 |
| 1588118459 | Lindsey Baker | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2016-08-09 |
| 1639521636 | Cris Hicks | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2016-07-01 |
| 1093171738 | Dejon Leann Knapp | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2016-01-11 |
| 1952766966 | Abbie Ceesay Hambright | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2015-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| Find all providers in zip 74120 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761004 | Ashley Jane Runnells | Counselor | 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 | 2020-08-17 |
| 1598316168 | Ryan David Sharpe | Counselor | 8218 S 77th East Ave Apt 1082, Tulsa, OK 74133-3966 | 2019-09-25 |
| 1588137780 | Hailee Dean Monroe | Counselor | 4103 S Yale Ave, Tulsa, OK 74135-6002 | 2019-01-10 |
| 1104308212 | Tawnya Denise Henderson | Counselor | 223 E Woodrow Pl, Tulsa, OK 74106-3729 | 2018-09-05 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1386146660 | Breanna White | Counselor | 7541 S Mingo Rd Apt 7154, Tulsa, OK 74133-3384 | 2018-03-02 |
| 1699285015 | Christina M Smalley | Counselor | 600 Civic Ctr, Tulsa, OK 74103-3829 | 2017-10-11 |
| 1700395902 | Rachel Lynn Richardson | Counselor | 5800 E Skelly Dr Ste 1100, Tulsa, OK 74135-6448 | 2017-09-20 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| Find all providers in TULSA | ||||
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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.