Organization Active NPI

Alex Green & Associates

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1205285202
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC2308 Issued in MD
Legal business name
ALEX GREEN & ASSOCIATES
Practice address
2115 N Charles St
Suite 200
Baltimore, MD 21218-5760
Phone
(410) 808-2786
NPI assigned
Jun 9, 2016
Last updated
Jun 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Mr. Alex Green, LCPC
Title
Ceo
Phone
(410) 808-2786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LC2308 MD
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LC2308 MD Primary

Addresses

Primary practice location

2115 N Charles St
Suite 200
Baltimore, MD 21218-5760

Mailing address

1700 Meridene Dr
Suite 509
Baltimore, MD 21239-2032
Phone (410) 808-2786

Other identifiers 1

IdentifierTypeStateIssuer
413855400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Alex Green Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1205285202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MERIDENE DR",
            "address_2": "SUITE 509",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392032",
            "telephone_number": "410-808-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N CHARLES ST",
            "address_2": "SUITE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185760",
            "telephone_number": "410-808-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX GREEN & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-808-2786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LC2308",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413855400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.