DR. JO BAXTER GREEN (NPI# 1811101405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811101405 |
| Entity Type | Individual |
| Full Name | DR. JO BAXTER GREEN |
| Credential | PHD |
| Practice Address |
516 N Sycamore St Palestine TX 75801-2840 |
| Mailing Address |
Po Box 2116 Palestine TX 75802-2116 |
| Practice Telephone | 9037237706 |
| Practice Fax Number | 9037237716 |
| Mailing Telephone | 9037237706 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2009-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
16370 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1712572 | 05 |
| Street Address |
516 N SYCAMORE ST |
| City | PALESTINE |
| State | TX |
| Zip Code | 75801-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063463370 | Medical Team Correctional Medical Services, Inc. | Home Health | 516 N Sycamore St, Palestine, TX 75801-2840 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095113 | Savannah Lee Brumley | Speech-Language Pathologist | 550 Anderson County Road 160, Palestine, TX 75801 | 2020-05-19 |
| 1154964997 | Holly Studdard | Massage Therapist | 479 Acr 3971, Palestine, TX 75801 | 2019-10-24 |
| 1174096093 | Lisa Ann Tuley | Social Worker | 2001 Acr 156 #9, Palestine, TX 75801 | 2019-01-03 |
| 1194253955 | Scion Management Group Inc. | Durable Medical Equipment & Medical Supplies | 2256 S Sycamore St Ste 1, Palestine, TX 75801 | 2017-05-24 |
| 1225565013 | Blessed Beginnings Birth Center | Midwife | 3950 S. Hwy 19, Palestine, TX 75801 | 2017-05-11 |
| 1487060711 | Prakash Gadhiya | Dentist | 419 Old Elkhart Rd., Palestine, TX 75801 | 2014-07-08 |
| 1821428640 | Deonna Michelle Bynum | Nurse Practitioner | 126 Medical Drive, Suite B, Palestine, TX 75801 | 2013-11-14 |
| 1811249253 | Michael G. Key D.c. PC | Chiropractor | 2803 W. Oak Street, Palestine, TX 75801 | 2012-10-10 |
| 1740447747 | Andre Thomas | Orthopaedic Surgery | 4002 Loop 256, Suite G, Palestine, TX 75801 | 2008-05-19 |
| 1609055631 | Kathie S Carrier&medical Transport Dba | Non-emergency Medical Transport (VAN) | 1965 Anderson County Road 2101, Palestine, TX 75801 | 2007-10-26 |
| Find all providers in zip 75801 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851415350 | John Randy Powell | Counselor | 207 W Palestine Ave, Palestine, TX 75801-7531 | 2007-03-19 |
| 1306983499 | Mary Ann Gerrity | Counselor | 304 W. Grand Prairie St., Palestine, IL 62451-1048 | 2007-01-30 |
| 1194701987 | Kathryn Elaine Miller | Counselor | 1025 N Mallard St, Suite 106, Palestine, TX 75801-7737 | 2005-12-22 |
| 1649262585 | Katherin C Williams | Counselor | 126 E Palestine Ave, Palestine, TX 75801-7626 | 2005-08-17 |
| 1700240272 | Adalid Sis | Counselor | 3320 S Loop 256, Palestine, TX 75801-6984 | 2016-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013043 | Shayla H Rumsey | Counselor | 1137f Burton Hill Rd, Fort Worth, TX 76114-4530 | 2020-11-05 |
| 1407457385 | Rachel Marie Trembley | Counselor | 10403 School House Ln, Austin, TX 78750-1728 | 2020-11-05 |
| 1619578614 | Naquasha Riser | Counselor | 9415 Mcneil Dr Apt 623, Austin, TX 78750-8560 | 2020-11-05 |
| 1851992143 | Sheri Lynn Brown | Counselor | 11803 Briarwood Ln, Montgomery, TX 77356-5496 | 2020-11-04 |
| 1356942544 | Abigail Ibitoye | Counselor | 6300 Ridglea Pl Ste 425, Fort Worth, TX 76116-5704 | 2020-11-04 |
| 1669073037 | Lifehouse Professional Counseling Pllc | Counselor | 6602 Polaris Dr Ste 1, Laredo, TX 78041-2082 | 2020-11-03 |
| 1891396313 | On Epiphany Lane, LLC | Counselor | 603 Munger Ave Ste 100, Dallas, TX 75202-1840 | 2020-11-02 |
| 1336749597 | Ebony Jackson | Counselor | 11510 Homestead Rd Ste 295, Houston, TX 77016-1237 | 2020-10-27 |
| 1932709482 | Alexxis Nicole Warford | Counselor | 505 W University Ave Ste 105, Georgetown, TX 78626-6643 | 2020-10-26 |
| 1487253951 | Shanler Leigh Hoover | Counselor | 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
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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.