Elizabeth Green, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT132271 Issued in CA

Practice address

3909 Centre St
San Diego, CA 92103-3410

Phone

(619) 692-2077

NPI assigned

Oct 26, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Octave Behavioral Health PC

  • Psychologist
  • San Francisco, CA
  • NPI 1184199549
  NPD (past)
• The LGBT Community Center

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1811237928
  NPD (past)
• The San Diego LGBT Community Center

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1922379049
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1003459611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 CENTRE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 CENTRE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033410",
            "telephone_number": "619-692-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-26",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT132271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Sarone Green
• Devin D'Shae Green
• Devin Taylor Green
• Dina Green, MA, MS
• Donald Robert Green, DPM
• Elizabeth Earle Green, PHD
• Erica Susan Green
• Gilbert B. Green, MD
• Hannah Green
• Heather Green

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.