Mary J, Phillips Green, PHD,LMHC,LMFT, LCPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-35 Issued in ID

Practice address

10324 Canyon Rd E
Suite 208
Puyallup, WA 98373-1013

Phone

(253) 267-1760

Fax

(253) 503-1628

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Hope Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Puyallup, WA
  • NPI 1154608073
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1134339245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 CANYON RD E",
            "address_2": "SUITE 208",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731013",
            "telephone_number": "253-267-1760",
            "fax_number": "253-503-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 CANYON RD E",
            "address_2": "SUITE 208",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731013",
            "telephone_number": "253-267-1760",
            "fax_number": "253-503-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARY",
        "middle_name": "J, PHILLIPS",
        "credential": "PHD,LMHC,LMFT, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009327",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-399",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-35",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF-00002624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Austin Green
• James Green, D.O.
• Jolie Michelle Green
• Kayla L Green, PA-C
• Madison Green, PA-C
• Renae Dina Green, CCC-SLP
• Kimberly Greger, RN
• Gregory Chiropractic Inc
• Julian David Gregory II, L.AC.
• Leroy Robert Gregory, D.C.

• Marriage & Family Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.