CHRISTIAN CARL GREEN (NPI# 1780080614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780080614 |
| Entity Type | Individual |
| Full Name | CHRISTIAN CARL GREEN |
| Practice Address |
11428 E 20th St Tulsa OK 74128-6451 |
| Mailing Address |
7402 S Victor Ave Apt 1612 Tulsa OK 74136-7443 |
| Practice Telephone | 9188787877 |
| Mailing Telephone | 9186954100 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
U082662103 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033490602 | Christian Hillary Green | Massage Therapist | 4334 S 178th St, Seatac, WA 98188-4135 | 2011-09-08 |
| 1962068411 | Christian Gabrielle Green | Behavior Technician | 31557 Schoolcraft Rd Ste 200, Livonia, MI 48150-1848 | 2019-05-10 |
| Street Address |
11428 E 20TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74128-6451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073869913 | Rickey D Bruner Jr. | Counselor | 11428 E 20th St, Tulsa, OK 74128-6451 | 2012-07-30 |
| 1578981163 | Michele Carey | Counselor | 11428 E 20th St, Unit A, Tulsa, OK 74128-6451 | 2014-04-01 |
| 1558787630 | Amelia Henderson | Counselor | 11428 E 20th St, A, Tulsa, OK 74128-6451 | 2014-03-12 |
| 1184040685 | Mindy Thomas | Counselor | 11428 E 20th St, A, Tulsa, OK 74128-6451 | 2014-03-09 |
| 1861816266 | Silvia Parra | Behavioral Analyst | 11428 E 20th St, Tulsa, OK 74128-6451 | 2014-02-06 |
| 1295156933 | Tony Knauls | Behavioral Analyst | 11428 E 20th St, Unit A, Tulsa, OK 74128-6451 | 2013-12-24 |
| 1669802302 | Desmond Nugent | Counselor | 11428 E 20th St, Tulsa, OK 74128-6451 | 2013-11-15 |
| 1336575547 | Shiron Denise Harris | Counselor | 11428 E 20th St, Unit A, Tulsa, OK 74128-6451 | 2013-09-19 |
| 1093149023 | Robert Marion Skuy | Social Worker | 11428 E 20th St, Unit A, Tulsa, OK 74128-6451 | 2013-08-27 |
| 1699108290 | Christine Morgan | Counselor | 11428 E 20th St, Tulsa, OK 74128-6451 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720352 | Nicole Piggee | Technician | 10548 East 5th Street, Tulsa, OK 74128 | 2019-09-24 |
| 1598252884 | Beth Alison Peck | Social Worker | 10159 East 11th Street, Tulsa, OK 74128 | 2018-04-23 |
| 1821434523 | Ta'vionna Danielle Polley-davis (whayne) | Counselor | 1148 E. 20th St, Unit A, Tulsa, OK 74128 | 2013-05-21 |
| 1881753572 | Mashovin Home Health Care, Inc. | Home Health | 12131 East Skelly Drive, Tulsa, OK 74128 | 2006-12-08 |
| 1023064300 | Brookhaven Hospital Inc. | Rehabilitation Unit | 201 S Garnett Rd, Tulsa, OK 74128 | 2006-05-26 |
| 1841689189 | David L Hinman | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128 | 2015-01-09 |
| 1992019582 | Ryan John Wilson | Counselor | 2725 E. Skelly Dr., Suite 202, Tulsa, OK 74128 | 2010-08-06 |
| 1376786590 | Dana Furtado | Social Worker | Department of Veterans Affairs, 10159 E. 11th Street, Suite #100, Tulsa, OK 74128 | 2009-04-17 |
| 1033391370 | Genevieve Dulan | Family Medicine | 10912 E 14th St, Tulsa, OK 74128 | 2007-11-28 |
| 1215098017 | Paul Chesley Cochran | Psychiatry & Neurology | 141 S Garnett Rd, Tulsa, OK 74128 | 2006-12-13 |
| Find all providers in zip 74128 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292464 | Sara Saxman | Counselor | 7829 S Yale Ave Apt A, Tulsa, OK 74136-9051 | 2020-10-15 |
| 1881207306 | Jennifer Mcdonald | Counselor | 9804 E 21st Pl Apt A, Tulsa, OK 74129-3815 | 2020-08-25 |
| 1053932905 | Suzanne Schneider | Counselor | 1507 E 21st St, Tulsa, OK 74114-1339 | 2020-05-01 |
| 1396371167 | Amy Lynn Herrold | Counselor | 8211 E Regal Pl, Tulsa, OK 74133-7167 | 2020-03-12 |
| 1033758453 | Anew Dawn Counseling Services LLC | Counselor | 2227 S Garnett Rd Ste 106, Tulsa, OK 74129-5115 | 2020-01-02 |
| 1679111231 | Shandeisha N Hay | Counselor | 6131 S Yorktown Ave Apt 1, Tulsa, OK 74136-0936 | 2019-12-13 |
| 1699320119 | Grace Oluloto | Counselor | 2740 E 41st St N, Tulsa, OK 74110-1432 | 2019-08-02 |
| 1467005900 | Courtney Gillespie | Counselor | 8810 S Yale Ave Ste K, Tulsa, OK 74137-3551 | 2019-07-23 |
| 1922660661 | Katherine Marie Nash | Counselor | 5072 S Toledo Ave Apt 23c, Tulsa, OK 74135-3350 | 2019-07-02 |
| 1205493590 | Wright Choice Counseling Services, LLC | Counselor | 6130 E 32nd St Ste 106, Tulsa, OK 74135-5454 | 2019-05-22 |
| 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.