Individual provider Active NPI

Patricia Arnette Green, LMFT

  • Counselor
  • Pittsburg, CA
National Provider Identifier
1295589323
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
143460 Issued in CA
Practice address
130 E Leland Rd Ste C
Pittsburg, CA 94565-4954
Phone
(925) 384-3997
Fax
(925) 252-1618
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 143460 CA Primary

Addresses

Primary practice location

130 E Leland Rd Ste C
Pittsburg, CA 94565-4954

Mailing address

2626 Brookshire St
Brentwood, CA 94513-5552
Phone (650) 218-3365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240718003760 CA Practitioner - Marriage and Family Therapist 2860938446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Mental Wellness Group a Family Counseling Community IncGroup PAC ID 7810237146, 4 clinicians

Practice addresses (Care Compare)

130 E Leland Rd
Suite C
Pittsburg, CA 94565-4954
Phone (925) 384-3997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Mental Wellness Group, a Family Counseling Community, Inc. CurrentSince May 1, 2024 Accepting new patients

Locations

130 E Leland Rd
Ste C
Pittsburg, CA 94565
Phone (925) 252-9663

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.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1295589323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 BROOKSHIRE ST",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135552",
            "telephone_number": "650-218-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E LELAND RD STE C",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654954",
            "telephone_number": "925-384-3997",
            "fax_number": "925-252-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PATRICIA",
        "middle_name": "ARNETTE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "143460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

Verify at the official NPI Registry.