Greenstones PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

R890966 Issued in MS

Legal business name

GREENSTONES PLLC

Practice address

901 Highway 80 E
Clinton, MS 39056-5244

Phone

(601) 488-9668

NPI assigned

Mar 8, 2018

Last updated

Aug 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lakeisha Green, PMHNP-BCNPI 1114311446

Title

Owner

Phone

(601) 488-9668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lakeisha Crye Green, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, MS
  • NPI 1114311446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1336641091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565244",
            "telephone_number": "601-488-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565244",
            "telephone_number": "601-488-9668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5568 Tiki Ln",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392123657",
            "country_code": "US",
            "telephone_number": "601-954-4625",
            "fax_number": "601-954-4625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENSTONES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-488-9668",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MS",
            "license": "R890966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Grantham, MD
• Ashton Wilson Graves
• Zina Bonita Gray
• Becquelyn Green
• Lakeisha Crye Green, PMHNP-BC
• Brittany Grenier
• Stacy Grim
• Tina Marie Gustavis, ED.S, G.C.C.
• Lauren Lanier Guthrie, NP
• Samantha Blair Hale, M.ED, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Clinton, MS
• Providers in Clinton, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.