Individual provider Active NPI

Marcus Morgan Greenwood, LPC-S

  • Mental Health Counselor
  • Irving, TX
National Provider Identifier
1124220538
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17739 Issued in TX
Practice address
580 Decker Dr Ste 260
Irving, TX 75062-2306
Phone
(972) 841-0858
Fax
(972) 591-4616
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17739 TX Primary

Addresses

Primary practice location

580 Decker Dr Ste 260
Irving, TX 75062-2306

Mailing address

580 Decker Dr Ste 260
Irving, TX 75062-2306
Phone (972) 841-0858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17739TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1124220538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 DECKER DR STE 260",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622306",
            "telephone_number": "972-841-0858",
            "fax_number": "972-591-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 DECKER DR STE 260",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622306",
            "telephone_number": "972-841-0858",
            "fax_number": "972-591-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "MARCUS",
        "middle_name": "MORGAN",
        "name_prefix": "Mr.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.