Austin Ray Greene

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

313 Chillicothe Ave
Hillsboro, OH 45133-7378

Phone

(937) 393-4562

NPI assigned

Apr 14, 2023

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 2

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": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1104512938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 EASTERN AVE APT I",
            "city": "LEESBURG",
            "state": "OH",
            "postal_code": "451359774",
            "telephone_number": "937-876-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 CHILLICOTHE AVE",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451337378",
            "telephone_number": "937-393-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "AUSTIN",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AOD-101YA0400X",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH-101YM0800X",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Stewart Goldman, M.D.
• Kelly Graham
• Ashley H Grazilla, R.D., L.D.
• Amy Green, OCCUPATIONAL THERAPI
• Greene Family Chiropractic Practice
• Amy Dawn Grooms
• Jason Grove, CDCA
• Lana Grover, DC
• Courtney Sue Guilfoyle, FNP-C
• Emma Gundler

• All providers in Hillsboro, OH
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.