Courtney R Green, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.017590 Issued in IL

Practice address

1315 Macom Dr Ste 103
Naperville, IL 60564-9360

Phone

(630) 585-7337

NPI assigned

Mar 11, 2024

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1336907757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR STE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649360",
            "telephone_number": "630-585-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR STE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649360",
            "telephone_number": "630-585-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605045893",
            "country_code": "US",
            "telephone_number": "630-978-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "COURTNEY",
        "middle_name": "R",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.017590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Gray, LCSW
• Sarah M Gray
• Greatland Home Health Services, Inc.
• Georgann Grecco, LPC
• Bart P Green, MD
• Morissa Green, LSW
• Stacie Joy Green, RBT
• Jennifer Alison Greene
• Jillian Jane Greenfield, MS, CF-SLP
• Greenpath Clinic

• Speech-Language Pathologist in Naperville, IL
• Providers in Naperville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.