KIMBERLY GREEN (NPI# 1073025987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073025987 |
| Entity Type | Individual |
| Full Name | KIMBERLY GREEN |
| Credential | LPC |
| Practice Address |
3905 Ford Rd Philadelphia PA 19131-2824 |
| Practice Telephone | 2158783400 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PC009652 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007283430002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060531 | Kimberly Green | Technician | 1793 Trap Springs Rd, Grafton, WV 26354-4520 | 2020-10-13 |
| 1851959902 | Kimberly Marie Green | Registered Nurse | 1132 Long Mdw, Salado, TX 76571-5453 | 2019-06-04 |
| 1770091373 | Kimberly Green | Speech-Language Pathologist | 3228 Mason Dr, Plano, TX 75025-4536 | 2018-01-17 |
| 1750822607 | Kimberly Green | Counselor | 238 Nicholson St Ne, Washington, DC 20011-2510 | 2017-03-12 |
| 1871990317 | Kimberly Green | Speech-Language Pathologist | 656 Players Crossing Way, Bowling Green, KY 42104-5534 | 2014-11-27 |
| 1902187909 | Kimberly Green | Registered Nurse | 11838 193rd St, Saint Albans, NY 11412-3339 | 2011-09-02 |
| 1891083887 | Kimberly Dainelle Green | Contractor | 761 Poplar St, Suite # 2 I, Macon, GA 31201-2082 | 2011-07-12 |
| 1447424197 | Kimberly Michelle Green | Internal Medicine | 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 | 2008-04-14 |
| 1720174873 | Kimberly J Green | General Practice | 1090 Cambridge Sq, Suite A, Alpharetta, GA 30009-1875 | 2006-10-05 |
| 1881702280 | Kimberly Cannon Green | Occupational Therapist | 102 West Sencea St, Suite 206, Manlius, NY 13104 | 2006-08-26 |
| Street Address |
3905 FORD RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808106 | The Center for Autism | Occupational Therapist | 3905 Ford Rd, Suite 6, Philadelphia, PA 19131-2824 | 2005-08-16 |
| 1376165480 | Kristen M Cann | Behavioral Analyst | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2020-05-12 |
| 1003438227 | Carolynn Mcnamara | Counselor | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2020-05-11 |
| 1003437849 | Susan Lambert | Counselor | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2020-05-04 |
| 1275044455 | Leah Leschinsky | Social Worker | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2017-10-16 |
| 1598202947 | Alison Mary Borden | Counselor | 3905 Ford Rd, Suite 6, Philadelphia, PA 19131-2824 | 2017-01-24 |
| 1609274125 | Kimberly Myles Ray | Social Worker | 3905 Ford Rd, Suite 600, Philadelphia, PA 19131-2824 | 2014-12-16 |
| 1033511472 | Krystal Carter | Counselor | 3905 Ford Rd, Suite 6, Philadelphia, PA 19131-2824 | 2014-09-17 |
| 1801203567 | Wordsworth Acute Partial Hospital | Community/Behavioral Health | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2014-07-15 |
| 1245596287 | Suzanne Bauer | Counselor | 3905 Ford Rd, Suite #6, Philadelphia, PA 19131-2824 | 2012-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| 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 |
|---|---|---|---|---|
| 1235737412 | Tara Jenkins | Counselor | 6701 Woolston Ave, Philadelphia, PA 19138-2628 | 2020-10-11 |
| 1124635339 | Elizabeth Hoffman Sporer | Counselor | 1318 Marlborough St, Philadelphia, PA 19125-3215 | 2020-09-30 |
| 1437764933 | Elizabeth Richburg | Counselor | 5709 W Jefferson St, Philadelphia, PA 19131-3417 | 2020-09-11 |
| 1144833153 | Taylor Daly | Counselor | 7002 Cresheim Rd, Philadelphia, PA 19119-2535 | 2020-08-28 |
| 1871117093 | Arnold Tim Massaquoi | Counselor | 461 Aurania St, Philadelphia, PA 19128-4010 | 2020-06-03 |
| 1891315453 | Alice D Gresham | Counselor | 2025 Conlyn St, Philadelphia, PA 19138-2925 | 2020-04-23 |
| 1518587864 | Wesley G Harris IIi | Counselor | 1621 N 54th St, Philadelphia, PA 19131-4002 | 2020-04-16 |
| 1497383954 | R Denise Coles | Counselor | 7320 Sommers Rd, Philadelphia, PA 19138-1330 | 2020-03-31 |
| 1023645058 | Sicklecelldeiseasassociationofamericaphiladelphia/delawarevalleychapte | Counselor | 5300 Wynnefield Ave Fl 2, Philadelphia, PA 19131-2318 | 2020-03-27 |
| 1245873736 | Antonia Cianfrani | Counselor | 1901 S 9th St Ste 520, Philadelphia, PA 19148-2391 | 2019-10-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
Please comment or provide details below to improve the information on KIMBERLY 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.