Marque Greene

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1870 S Boulder Ave
Tulsa, OK 74119-5234

Phone

(918) 585-1213

Fax

(918) 585-1263

NPI assigned

Jun 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Mental Health Association in Tulsa, Inc.

  • Voluntary or Charitable Agency
  • Tulsa, OK
  • NPI 1821127325
  NPD (past)
• Mental Health Association of Tulsa

  • Case Management Agency
  • Tulsa, OK
  • NPI 1528453479
  NPD (past)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1063672210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 S BOULDER AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741195234",
            "telephone_number": "918-585-1213",
            "fax_number": "918-585-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 S BOULDER AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741195234",
            "telephone_number": "918-585-1213",
            "fax_number": "918-585-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "MARQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICIS",
            "identifier": "5MLG65",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James William Greenawalt III, M.D.
• Ashleigh Marie Greene, MS
• Derrole Greene
• Jalen Greene
• Kianna Kori Greene
• Myong Susan Greene
• Taylor Mackenzie Greene, DO
• Toryn Greener, M.A., BCBA
• Wilma Louise Greenfield, PHD
• Breyona Menyon Greenlee

• Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.