Brett Allen Green, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.168791 Issued in OH

Practice address

1319 Florencedale Ave
Youngstown, OH 44505-2719

Phone

(330) 743-4673

NPI assigned

Dec 31, 2018

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1083186191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 PRESIDENTIAL CT",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124771",
            "telephone_number": "724-513-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 FLORENCEDALE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052719",
            "telephone_number": "330-743-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRETT",
        "middle_name": "ALLEN",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.168791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlana Greathouse, BCBA
• Sara R Greathouse, MSW, LCSW
• Michael Greco, PC
• Allister Washington Green Jr.
• Bertha Mae Green
• Derick Green
• Jailyah Green
• Karly Christine Green, CNP
• Melissa Green
• Monique Green

• Addiction (Substance Use Disorder) Counselor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.