MRS. CHARLENE KIM GREEN (NPI# 1760810691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760810691 |
| Entity Type | Individual |
| Full Name | MRS. CHARLENE KIM GREEN |
| Credential | LMFT |
| Practice Address |
9008 Elk Grove Blvd Elk Grove CA 95624-1945 |
| Practice Telephone | 9165440502 |
| Practice Fax Number | 9166888603 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2015-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 86299 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 73224 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF BEHAVIORAL SCIENCES | 86299 | 01 |
| CA | BOARD OF BEHAVIOR SCIENCES | 73224 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255382339 | Charlene Edwards Green | Anesthesiology | 3625 N Elm St, Suite 110a, Greensboro, NC 27455-2604 | 2006-05-13 |
| Street Address |
9008 ELK GROVE BLVD |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205942778 | Karen Joyce Lawler | Marriage & Family Therapist | 9008 Elk Grove Blvd, Suite 12, Elk Grove, CA 95624-1945 | 2006-08-21 |
| 1083916357 | Alton Wayne Wood | Counselor | 9008 Elk Grove Blvd, Elk Grove, CA 95624-1945 | 2010-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716636 | Allissa Denise Maurer | Marriage & Family Therapist | 9075 Elk Grove Blvd Ste 220, Elk Grove, CA 95624-2072 | 2020-09-26 |
| 1346876646 | Turnerwood Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 8788 Elk Grove Blvd Ste 3-16, Elk Grove, CA 95624-1766 | 2020-03-18 |
| 1740823509 | Point Quest Behavioral Health Ca, LLC | Marriage & Family Therapist | 9355 E Stockton Blvd Ste 225, Elk Grove, CA 95624-9476 | 2019-10-24 |
| 1467931022 | Change By Coniah Family Counseling, A Professional Corporation | Marriage & Family Therapist | 2376 Maritime Dr Ste 200, Elk Grove, CA 95758-3640 | 2018-08-14 |
| 1629554670 | Amie Lynn Escher | Marriage & Family Therapist | 9401 E Stockton Blvd Ste 145, Elk Grove, CA 95624-5051 | 2018-07-12 |
| 1578069944 | Thais Helena Turner | Marriage & Family Therapist | 8788 Elk Grove Boulevard, Building 3, Suite 16, Elk Grove, CA 95758-1769 | 2018-04-03 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1548797335 | Sandra Rulon | Marriage & Family Therapist | 9941 Falcon Meadow Dr, Elk Grove, CA 95624-2763 | 2017-05-11 |
| 1699206904 | Dalise Gada | Marriage & Family Therapist | 8630 W Wing Dr, Elk Grove, CA 95758-9538 | 2017-03-27 |
| 1871036905 | Steven Brody | Marriage & Family Therapist | 9654 Mardelle Way, Elk Grove, CA 95624-2431 | 2016-11-21 |
| Find all providers in ELK GROVE | ||||
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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.