Terry A Green, MS, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG60292466 Issued in WA

Practice address

611 Main St Ste E
Edmonds, WA 98020-3096

Phone

(206) 321-4850

NPI assigned

Sep 20, 2011

Last updated

Mar 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1154604791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MAIN ST STE E",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203096",
            "telephone_number": "206-321-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MAIN ST STE E",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203096",
            "telephone_number": "206-321-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TERRY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60292466",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott W Gray, CRNA
• Sharon Kay Gray, CRNA
• Alice B Green, BSN, RN
• David W Green, RPH
• Joshua L Green, LAC, EAMP, MQP
• Christopher Gordon Greenman, MD
• Bryan Larry Gregory, D.C.
• Montana Gregory, M.A., CCC-SLP
• Julie Anne Gregoryk, MSPT
• Jordan Marie Grey, MD

• Marriage & Family Therapist in Edmonds, WA
• Providers in Edmonds, 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 Mar 21, 2018; 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.