Douglas Greene, QMHA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1840 Union Ave
North Bend, OR 97459-3422

Phone

(541) 756-2057

Fax

(541) 751-7905

NPI assigned

Jul 22, 2008

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

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1093970725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 UNION AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593422",
            "telephone_number": "541-756-2057",
            "fax_number": "541-751-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 UNION AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593422",
            "telephone_number": "541-756-2057",
            "fax_number": "541-751-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "QMHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Girnt
• Albert Leroy Glick, QMHA
• Debra A. Graham, M.D.
• Janine Anselmo Granstrand
• Cynthia Lynn Green
• Roberta Goldie Grenier, CADC II
• Jesse R Gridley, DMD
• Amanda Irene Habell, B.A. PSYCHOLOGY
• Robin Haddock, MED
• Stacie Haight

• Mental Health Counselor in North Bend, OR
• Providers in North Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.