Sheria Jo'NA Green
Individual provider Active NPI Mental Health Counselor · Ripley, MS
NPI 1346599461 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1346599461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2441A County Road 501
Ripley, MS 38663-9677 - Phone
- (662) 837-8154
- Fax
- (662) 837-9462
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arise Hernando, LLC
Practice addresses (Care Compare)
1288 Byhalia Rd
Suite 4
Hernando, MS 38632-6032
Phone (662) 912-9218
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241003000014 | MS | Practitioner - Mental Health Counselor | 7810428737 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arise Hernando, LLC | Current |
Accepting new patients |
Locations
1288 Byhalia Rd
Ste 4
Hernando, MS 38632
Phone (662) 912-9218
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2441A County Road 501
Ripley, MS 38663-9677
Mailing address
PO Box 839
Corinth, MS 38835-0839
Phone (662) 286-9883
Other providers in Ripley, MS
- Hunter Lee Givens
- Pilar Gonzalez
- Mary A Gray
- Emily Green
- Laken Green
- Griffin Dental P. a.
- Chris Griffin
- Kelly Grimes
- Paisleigh Gunn
- Nicholas Gutzler
All providers in Ripley, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.