Tammy M Green

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP9177 Issued in MD

Practice address

2351 Freedom Way
York, PA 17402-9282

Phone

(717) 600-0900

NPI assigned

Nov 14, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Marissa Block LLCGroup PAC ID 2769894963, 12 clinicians

Life Change Therapy Now LLCGroup PAC ID 4284010117, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Change Therapy Now LLC

  • Clinical Social Worker
  • Frederick, MD
  • NPI 1780121392
  Medicare reassignment Care Compare group NPD
• Marissa Block LLC

  • Professional Counselor
  • Towson, MD
  • NPI 1407453939
  Medicare reassignment Care Compare group NPD
• Life Renewal Services, Inc.

  • Mental Health Counselor
  • Windsor Mill, MD
  • NPI 1457471385
  NPD
• Life Renewal Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Westminster, MD
  • NPI 1578995213
  NPD

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1124597638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 BACHMAN CT",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211021725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 FREEDOM WAY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029282",
            "telephone_number": "717-600-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TAMMY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP9177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale L Green, LDN
• James Andrew Green, D.C.
• Kimberly Ann Green, CRNP
• Matthew Christian Green, D.D.S.
• Richard Francis Green, D.C.
• Emily D Greene, LMT
• Shelley Greene, LMSW-CC
• Afton Elizabeth Greener, PA-C
• Kara Greer, PA-C
• Megan E Gregoire, M.S. CCC-SLP

• Mental Health Counselor in York, PA
• Providers in York, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.