Individual provider Active NPI

Bernice Green

  • Mental Health Counselor
  • Dover, DE
National Provider Identifier
1255055927
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0011257 Issued in DE
Practice address
103 Mont Blanc Blvd
Dover, DE 19904-7615
Phone
(302) 678-3020
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC-0011257 DE Primary

Addresses

Primary practice location

103 Mont Blanc Blvd
Dover, DE 19904-7615

Mailing address

103 Mont Blanc Blvd
Dover, DE 19904-7615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701002740 DE Practitioner - Mental Health Counselor 6901340959 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Guidance Services for Children & Youth, Inc. CurrentSince Oct 2, 2022 Accepting new patients
Perspectives Therapy Services, Inc. Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

103 Mont Blanc Blvd
Dover, DE 19904
Phone (302) 678-3020

766 Townsend Blvd
Dover, DE 19901
Phone (302) 446-4949

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1255055927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MONT BLANC BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MONT BLANC BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047615",
            "telephone_number": "302-678-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BERNICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.