Organization Active NPI

Green Roots Counseling

  • Mental Health Counselor
  • Bremerton, WA
National Provider Identifier
1174927024
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC 60323887 Issued in WA
Legal business name
GREEN ROOTS COUNSELING
Practice address
423 Pacific Ave
Bremerton, WA 98337-1914
Phone
(360) 471-2953
NPI assigned
Oct 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Jennifer L HensleyNPI 1699173906
Title
Mental Health Counselor
Phone
(360) 471-2953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MC 60323887 WA Primary

Addresses

Primary practice location

423 Pacific Ave
Bremerton, WA 98337-1914

Mailing address

1537 Morgan Rd NW
Bremerton, WA 98312-2626
Phone (360) 471-2953

National Provider Directory

National Provider Directory

Locations

423 Pacific Ave
Bremerton, WA 98337
Phone (360) 471-2953

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1174927024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 MORGAN RD NW",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122626",
            "telephone_number": "360-471-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 PACIFIC AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371914",
            "telephone_number": "360-471-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ROOTS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "360-471-2953"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60323887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.