KATHRYN GREEN (NPI# 1679087738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679087738 |
| Entity Type | Individual |
| Full Name | KATHRYN GREEN |
| Other Name | KATE GREEN |
| Credential | MS, LPC, NCC |
| Practice Address |
734 Demun Ave Clayton MO 63105 |
| Mailing Address |
3457 Iowa Ave Saint Louis MO 63118-3021 |
| Practice Telephone | 3146439712 |
| Mailing Telephone | 9104953130 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2017013158 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395505 | Kathryn C Green | Technician | 7768 Stillwell Rd Apt 2, Cincinnati, OH 45237-2133 | 2019-09-19 |
| 1730554122 | Kathryn Green | Occupational Therapist | 25652 Via Viento, Mission Viejo, CA 92691-5629 | 2015-12-10 |
| 1003286105 | Kathryn Green | Occupational Therapist | 2 Birch Ave, Sound Beach, NY 11789-2534 | 2015-10-01 |
| 1376669804 | Kathryn T. Green | Counselor | 4696 W Overland Rd Ste 214, Boise, ID 83705-2864 | 2007-03-22 |
| 1497312367 | Kathryn M Green | Counselor | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2019-05-24 |
| 1376002501 | Kathryn Green | Counselor | 9462 Van Nuys Blvd, Van Nuys, CA 91402-1310 | 2019-03-18 |
| 1962892844 | Kathryn Laura Green | Nurse Practitioner | 3400 Civic Center Blvd, 2nd Floor, Philadelphia, PA 19104-5127 | 2015-01-29 |
| 1902237456 | Kathryn Green | Dietitian, Registered | 2029 Airport Blvd Ste 195, Mobile, AL 36606-1754 | 2013-12-10 |
| 1063760072 | Kathryn Rebecca Green | Marriage & Family Therapist | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2012-08-22 |
| 1093958910 | Kathryn Holland Green | Social Worker | 1329 Sw 16th St, Suite 4160, Gainesville, FL 32608-1128 | 2009-04-07 |
| Street Address |
734 DEMUN AVE |
| City | CLAYTON |
| State | MO |
| Zip Code | 63105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821313297 | Rebecca Gould Dc PC | Clinic/Center | 734 Demun Ave, Clayton, MO 63105-2219 | 2010-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| Find all providers in zip 63105 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058711 | David Oliver | Counselor | 8000 Bonhomme Ave Ste 201d, Clayton, MO 63105-3515 | 2020-09-21 |
| 1306459060 | Misha Benavides Pelligreen | Counselor | 7556 Wydown Blvd Apt 2e, Clayton, MO 63105-2752 | 2020-08-24 |
| 1437781978 | Leigh H Gerard | Counselor | 225 S Meramec Ave # 721t, Clayton, MO 63105-3669 | 2020-02-12 |
| 1518516053 | Elise Marie Ringenberg | Counselor | 8000 Bonhomme Ave Ste 406, Clayton, MO 63105-3515 | 2019-09-07 |
| 1700446283 | Trinity Wellness, LLC | Counselor | 6365 Clayton Rd Fl 2, Clayton, MO 63117-1808 | 2019-06-18 |
| 1225527930 | Jason Duchinsky | Counselor | 141 N Meramec Ave Ste 10b, Clayton, MO 63105-3393 | 2018-05-08 |
| 1114436268 | Janice Rando | Counselor | 200 E Main St Ste 201, Clayton, NC 27520-2487 | 2017-09-20 |
| 1205356961 | Mckenzie Bossert | Counselor | 510 W Main St Ste 100, Clayton, NC 27520-1650 | 2017-06-23 |
| 1225572282 | Camille E. Neal | Counselor | 232 River Hills Dr, Clayton, NC 27527-5805 | 2016-12-10 |
| 1518416015 | Glenn Moore | Counselor | 9 Kindle Ct, Clayton, NJ 08312-2158 | 2016-09-25 |
| Find all providers in CLAYTON | ||||
Please comment or provide details below to improve the information on KATHRYN 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.