Debora Green, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401011699 Issued in MI

Practice address

39425 Garfield Rd
Suite 23
Clinton Township, MI 48038-4650

Phone

(800) 693-1916

NPI assigned

Mar 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Discover Mental Wellness PLLC

  • Mental Health Counselor
  • Clinton Township, MI
  • NPI 1992579718
  NPD (past) Authorized official

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1285174441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35431 HICKORY WOODS DR",
            "address_2": "8",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480355143",
            "telephone_number": "586-489-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39425 GARFIELD RD",
            "address_2": "SUITE 23",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384650",
            "telephone_number": "800-693-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DEBORA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011699",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Lakes Ambulatory Surgical Center, LLC
• Greater Lakes Anesthesia, PLLC
• Greater Michigan Gastroenterology PC
• Greatlakes Homecare Center LLC
• Daniel James Green, RN
• Eboni Green
• Erica R Green, MSOT, OTRL
• Allisen Renee Greene
• Dena Greene, MA, LLPC
• Elizabeth Greschak, LLMSW

• Counselor in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.