LONNELLE ANTONIO GREEN I (NPI# 1144400359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144400359 |
| Entity Type | Individual |
| Full Name | LONNELLE ANTONIO GREEN I |
| Practice Address |
29516 Canvasback Dr Easton MD 21601-7140 |
| Mailing Address |
2336 Goddard Pkwy Salisbury MD 21801-1126 |
| Practice Telephone | 4108225007 |
| Practice Fax Number | 4108225569 |
| Mailing Telephone | 4103346961 |
| Mailing Fax Number | 4103346960 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
29516 CANVASBACK DR |
| City | EASTON |
| State | MD |
| Zip Code | 21601-7140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337208 | Deborah Carroll Gootee | Registered Nurse | 29516 Canvasback Dr, Easton, MD 21601-7140 | 2005-09-26 |
| 1609183995 | Keegan Marie Evans | Counselor | 29516 Canvasback Dr, Suite 200, Easton, MD 21601-7140 | 2010-09-08 |
| 1295968683 | Monick Nicole Conway | Social Worker | 29516 Canvasback Dr, Suite 200, Easton, MD 21601-7140 | 2009-09-01 |
| 1396971545 | Shavonte Jamesia Robinson | Counselor | 29516 Canvasback Dr, Suite 200, Easton, MD 21601-7140 | 2009-06-02 |
| 1568602415 | Mark Monte Murray | Counselor | 29516 Canvasback Dr, Suite 200, Easton, MD 21601-7140 | 2009-03-04 |
| 1821236845 | Tracy Lynn Stammer | Counselor | 29516 Canvasback Dr, Suite 200, Easton, MD 21601-7140 | 2009-01-29 |
| 1821247586 | John Wesly Tripline | Counselor | 29516 Canvasback Dr, Easton, MD 21601-7140 | 2008-09-17 |
| 1568610467 | Elizabeth Annabel Barnett | Counselor | 29516 Canvasback Dr, Easton, MD 21601-7140 | 2008-09-04 |
| 1316103724 | Stacey Ann Poulos | Counselor | 29516 Canvasback Dr, Easton, MD 21601-7140 | 2008-08-05 |
| 1245309533 | Sally W Vermilye | Social Worker | 29516 Canvasback Dr, Easton, MD 21601-7140 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| 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 |
|---|---|---|---|---|
| 1568098390 | Beth Peters | Counselor | 1101 Northampton St Ste 201, Easton, PA 18042-4152 | 2020-03-12 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1275078180 | Felicia Moore | Counselor | 1733 Washington Blvd Ste 108, Easton, PA 18042 | 2017-01-01 |
| 1124563127 | Tara Marie George | Counselor | 1101 Northampton St #201, Pinebrook Family Answers, Easton, PA 18042 | 2016-12-29 |
| 1275950008 | Janelle Potts | Counselor | 3701 Corriere Rd Ste 10, Easton, PA 18045-7991 | 2014-03-18 |
| 1952733891 | Karen O'brien-maynard | Counselor | 340 Paxinosa Rd W, Easton, PA 18040-1322 | 2013-08-02 |
| 1558612010 | Jessica Hart Bass | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2012-09-25 |
| 1730459124 | Lily Bay LLC | Counselor | 15 Weiss Ave, Easton, PA 18042 | 2012-01-03 |
| 1134354913 | David Rosario-torres | Counselor | 29516 Canvasback Dr Ste 200, Easton, MD 21601-7140 | 2009-05-21 |
| 1932224565 | Karen Marie Rumore | Counselor | 4049 Hartley Ave, Easton, PA 18045-3790 | 2007-03-20 |
| Find all providers in EASTON | ||||
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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.