NPIMap

Organization Active NPI

Green Line Wellness PLLC

Doing business as Green Line Wellness

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1235492711
Registry record updated Jul 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1658 Issued in KY
Legal business name
GREEN LINE WELLNESS PLLC
Doing business as
Green Line Wellness
Practice address
714 Lyndon LN
Suite One
Louisville, KY 40222-4643
Phone
(502) 509-7357
NPI assigned
Jun 20, 2012
Last updated
Jul 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2012

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

Authorized official

Name
Dr. Laura Linebarger, PSYD
Title
Co-Owner
Phone
(502) 509-7357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1658 KY Primary

Addresses

Primary practice location

714 Lyndon LN
Suite One
Louisville, KY 40222-4643

Mailing address

714 Lyndon LN
Suite One
Louisville, KY 40222-4643

Other names 1

  • Green Line Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341360000000",
    "number": "1235492711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 LYNDON LN",
            "address_2": "SUITE ONE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 LYNDON LN",
            "address_2": "SUITE ONE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224643",
            "telephone_number": "502-509-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LINE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-07-04",
        "status": "A",
        "authorized_official_last_name": "LINEBARGER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "502-509-7357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Line Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2012; 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.