Cynthia Ann Green, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC2237 Issued in MD

Practice address

150 W Patrick St
Frederick, MD 21701-5514

Phone

(301) 631-2121

NPI assigned

Oct 1, 2006

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

Other names 1

• Ms. Cindy Ann Green Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1003909342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MAGNOLIA AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014816",
            "telephone_number": "301-663-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015514",
            "telephone_number": "301-631-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "GREEN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dominiquekal Brown Gray, NURSE PRACTITIONER
• Leslie Ellen Gray, OCCUPATIONAL THERAPY
• Great Care, LLC
• Green Ridge Behavioral Health, LLC
• Green Valley Therapy, L.L.C.
• Elizabeth Tallmadge Green
• Megan Green
• Stephen J Green, LCPC
• Tara Renee Green
• Maria Greenberg

• All providers in Frederick, MD
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.