Lori B Green, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT28842 Issued in CA

Practice address

3240 Roland Dr
Santa Cruz, CA 95062-4329

Phone

(831) 476-5546

Fax

(831) 476-4432

NPI assigned

Aug 26, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1275766123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 ROLAND DR.",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95062",
            "telephone_number": "831-476-5546",
            "fax_number": "831-476-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 ROLAND DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624329",
            "telephone_number": "831-476-5546",
            "fax_number": "831-476-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LORI",
        "middle_name": "B",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT28842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aidan Eugene Santillan Greathouse
• Maria Selhorst Greaves, M.D.
• Jennifer Toni Greco, LPT
• Tala Victoria Gredinberg, DDS
• Jared Green
• Wendy Penelope Green, N.D.
• Mark R Greenbaum, MD
• Daniel James Greene, M.D.
• Sarah Greene, AMFT
• Brandon Greenfield

• Marriage & Family Therapist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.