Debra Helayne Green, M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 28440 Issued in CA

Practice address

399 Taylor Blvd
#210
Pleasant Hil, CA 94523

Phone

(925) 685-9463

Fax

(925) 685-9682

NPI assigned

Oct 23, 2006

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

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.

• Encore Clinical Consultation

  • Clinical Social Worker
  • Pleasant Hill, CA
  • NPI 1235773177
  NPD (past)
• Good Roots Psychotherapy

  • Mental Health Counselor
  • Pleasant Hill, CA
  • NPI 1235086976
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1346323490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 TAYLOR BLVD",
            "address_2": "#210",
            "city": "PLEASANT HIL",
            "state": "CA",
            "postal_code": "94523",
            "telephone_number": "925-685-9463",
            "fax_number": "925-685-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 TAYLOR BLVD",
            "address_2": "#210",
            "city": "PLEASANT HIL",
            "state": "CA",
            "postal_code": "94523",
            "telephone_number": "925-685-9463",
            "fax_number": "925-685-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DEBRA",
        "middle_name": "HELAYNE",
        "name_prefix": "Ms.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 28440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.