Heather Greene LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

L4691 Issued in OR

Legal business name

HEATHER GREENE LLC

Practice address

12555 SW 1St St
Beaverton, OR 97005-0546

Phone

(971) 724-7393

NPI assigned

May 4, 2017

Organization subpart

No

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

Authorized official

Name

Heather Greene, LCSW

Title

Owner

Phone

(971) 724-7393

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1215463518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18005 SW EWEN DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970033818",
            "telephone_number": "971-724-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 SW 1ST ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050546",
            "telephone_number": "971-724-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER GREENE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-724-7393",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "L4691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912204546",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Healy-Forster
• Robert Heard, CHW
• Heartbound Counseling Services Limited Liability Company
• Hearts Made Whole Counseling, LLC
• Hearts of Hope Residential Facility LLC
• Meghan Hebert, CSWA
• Michelle Lea Hebert, LMT
• Vargha Hedayati Mahdiabadi, LMT
• Emily R Hedges, MA, LPC, CADCIII
• Samuel Einar Hedine, M.S., SLP-CF

• Community/Behavioral Health Agency in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.