Active NPI
Michael Monroe Green, LPC
- Professional Counselor
- Sharon Hill, PA
National Provider Identifier
1245789528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008692
- Practice address
- 1048 Jackson Ave
Sharon Hill, PA 19079-1608 - Phone
- (267) 595-0588
- NPI assigned
- Sep 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008692 | PA | Primary |
Addresses
Primary practice location
1048 Jackson Ave
Sharon Hill, PA 19079-1608
Mailing address
1048 Jackson Ave
Sharon Hill, PA 19079-1608
Phone (267) 595-0588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC008692 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles a Melton Arts & Education Center | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Chester, PA
- NPI 1871380014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1245789528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 JACKSON AVE",
"city": "SHARON HILL",
"state": "PA",
"postal_code": "190791608",
"telephone_number": "267-595-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1048 JACKSON AVE",
"city": "SHARON HILL",
"state": "PA",
"postal_code": "190791608",
"telephone_number": "267-595-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MICHAEL",
"middle_name": "MONROE",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-27",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sharon Hill, PA
- James Melvin Goers, RPH
- Good-Natured Health Care Services LLC
- Gratifying Home Care LLC
- Green Unlimited Home Health Services LLC
- Keisha Michelle Green, MEDICAL ASSISTANT
- Patricia Marie Greene, RPH
- Greenhill Villages, Inc
- Guardian Angel Support Coordination Agency, LLC
- Guardian Response Medical
- Habi'S Reliable Home Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.