Kip L Green, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4009 Issued in AL

Practice address

8310 2ND Ave S
Morris, AL 35116-1420

Phone

(205) 572-1090

NPI assigned

Feb 9, 2021

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

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1134711328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 2ND AVE S",
            "city": "MORRIS",
            "state": "AL",
            "postal_code": "351161420",
            "telephone_number": "205-572-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 2ND AVE S",
            "city": "MORRIS",
            "state": "AL",
            "postal_code": "351161420",
            "telephone_number": "205-572-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KIP",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Gayle Eisenberg, PA
• Arthur Boyd Ennis Jr., PHARMD
• Family First Primary Care Alabama LLC
• Hannah Morton Foreman, DMD
• Nicholas Devin Franklin, COTA/L
• Kristina Hays, RN, IBCLC
• Andrea Lashley
• Mountain Smiles - Morris PLLC
• North Jefferson Dental Care, LLC
• Tracy Morrison Parks, M.D.

• Professional Counselor in Morris, AL
• Providers in Morris, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.