Jonathan Green, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

207 Ivanhoe Ave
Camillus, NY 13031-2427

Phone

(585) 364-4585

NPI assigned

Jan 17, 2018

Sex

Male

Sole proprietor

No

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

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.

• Aspire Health Partners, Inc.

  • Institutional Pharmacy
  • Orlando, FL
  • NPI 1982769188
  NPD (past)

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1164930756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 IVANHOE AVE",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312427",
            "telephone_number": "585-364-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 IVANHOE AVE",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312427",
            "telephone_number": "585-364-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JONATHAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-17",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Goldschein, LMHC, LPC
• Gary S Gonza, RPH
• Amy Marie Goodwin, LPN
• Elizabeth White Graham, RPH
• Christine Marie Granato, M.D.
• Robin Meredith Greenberg, DPT
• Lori Ann Guereschi, PHARMD
• Kelsey Haeck, MS, RDN
• Naimah Hameed
• Linda Mary Hammond, R.N, B.S.N.

• Counselor in Camillus, NY
• Providers in Camillus, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; 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.