KATHERINE ANN GREEN


Address: 6950 Philips Hwy, Suite 11, Jacksonville, FL 32216-6074
Phone: 9042393677

KATHERINE ANN GREEN (NPI# 1962863340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962863340
Entity Type Individual
Full Name KATHERINE ANN GREEN
Credential LMHC
Practice Address 6950 Philips Hwy
Suite 11
Jacksonville
FL 32216-6074
Mailing Address Po Box 54723
Jacksonville
FL 32245-4723
Practice Telephone 9042393677
Practice Fax Number 9048664029
Mailing Telephone 9042393677
Mailing Fax Number 9048664029
Enumeration Date 2016-03-14
Last Update Date 2016-03-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH9789 FL Behavioral Health & Social Service Providers

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1942417597 Katherine Green Counselor 31638 3rd Pl Sw Apt A, Federal Way, WA 98023-4831 2007-05-16
1205460961 Katherine Green Physical Therapist 617 E Riverside Dr Ste 302, St George, UT 84790-8722 2020-03-02
1386280774 Katherine Green Behavior Technician 515 W 14th St Unit D, Traverse City, MI 49684-4059 2019-11-21
1639729502 Katherine Ellen Green Social Worker 1201 N Muldoon Rd, Anchorage, AK 99504-6104 2019-09-12
1063984599 Katherine Green Social Worker 125 N Court St, Westminster, MD 21157-5192 2018-12-21
1851834931 Katherine Elaine Green Social Worker 119 Tunnel Rd Ste D, Asheville, NC 28805-1800 2016-11-22
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Office Location

Street Address 6950 PHILIPS HWY
SUITE 11
City JACKSONVILLE
State FL
Zip Code 32216-6074

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376601534 Deborah M Baker Psychologist 6950 Philips Hwy, Suite 11, Jacksonville, FL 32216-6074 2006-12-04
1619403409 Helen Manning Counselor 6950 Philips Hwy, Suite 11, Jacksonville, FL 32216-6074 2017-05-11
1982148532 Melody Eckert Counselor 6950 Philips Hwy, Suite 11, Jacksonville, FL 32216-6074 2016-12-15
1386194512 Sierra Trainor Psychologist 6950 Philips Hwy, Suite 11, Jacksonville, FL 32216-6074 2016-10-12
1215482054 Brandi R Nieves Counselor 6950 Philips Hwy, Suite 11, Jacksonville, FL 32216-6074 2016-08-22
1215302542 Sheila Bellamy Marriage & Family Therapist 6950 Philips Hwy, Suite 11, Jacksonville, FL 32216-6074 2015-12-11
1497139992 Steven Peano Counselor 6950 Philips Hwy, Suite 11, Jacksonville, FL 32216-6074 2015-07-14
1023410156 Summer Rae Scott Psychologist 6950 Philips Hwy, Suite 11, Jacksonville, FL 32216-6074 2014-09-19
1487085379 Michelle Lynn Slater Counselor 6950 Philips Hwy, Suite 11, Jacksonville, FL 32216-6074 2013-12-03
1730513276 Mikhail Bogomaz Psychologist 6950 Philips Hwy, Suite 11, Jacksonville, FL 32216-6074 2013-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134720519 Ashley Harms Counselor 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 2020-11-03
1902418684 Molly Ann Burkhardt Counselor 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 2020-08-23
1194335638 Aiteria Green Counselor 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 2020-08-07
1053920116 Barbara Burden Counselor 209 N Carole Dr, Jacksonville, NC 28546-4845 2020-07-24
1790393973 Kelley Holladay Counselor 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 2020-07-14
1629696646 Mary Ann Caldwell Counselor 2496 Northwoods Dr., Jacksonville, NC 28540 2020-07-07
1447877709 Quendria Johnson-kerns Counselor 200 Zonnie Ln, Jacksonville, NC 28540-9729 2020-07-02
1467077164 Shanna Horan Counselor 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 2020-06-09
1720602527 Shannon E Raikes Counselor 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 2020-06-08
1750905253 Kathlena N Reed Counselor 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 2020-06-01
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Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

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.

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