Katie Marie Green

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

82840 Issued in TX

Practice address

4131 Spicewood Springs Rd Ste M2
Austin, TX 78759-8652

Phone

(270) 316-8424

NPI assigned

Feb 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1083368443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE M2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598652",
            "telephone_number": "270-316-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE M2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598652",
            "telephone_number": "270-316-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie@evergreentherapyatx.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA professional email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4131 Spicewood Springs Rd Ste M2",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787598652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charity Ann Green, APRN
• Christina Marie Green, M.S., BCBA
• Hannah Green, MSN, APRN, PMHNP-BC
• Holly Green
• Jennifer Vanessa Green, LPC
• Keciana Green
• Kelly Elizabeth Green, PH.D.
• Kelly Patrick Green, O.D.
• Kindrel Green
• Kristina Lynne Green, OT

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• 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.