Active NPI
Alissa Green
- Marriage & Family Therapist
- Napa, CA
National Provider Identifier
1346611530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 126475
- Practice address
- 1734 Jefferson St Ste C
Napa, CA 94559-1746 - Phone
- (707) 299-8250
- NPI assigned
- Oct 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF89426 | CA | |
| Marriage & Family Therapist | 106H00000X | 126475 | CA | Primary |
Addresses
Primary practice location
1734 Jefferson St Ste C
Napa, CA 94559-1746
Mailing address
PO Box 2842
Rohnert Park, CA 94927-2842
Phone (707) 312-1120
Other practice location 1
470 Chadbourne Rd Ste E
Fairfield, CA 94534-9620
Phone (707) 425-9670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126475 | CA | MD | Marriage & Family Therapist |
| IMF89426 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1346611530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2842",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949272842",
"telephone_number": "707-312-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 JEFFERSON ST STE C",
"city": "NAPA",
"state": "CA",
"postal_code": "945591746",
"telephone_number": "707-299-8250"
}
],
"practiceLocations": [
{
"address_1": "470 Chadbourne Rd Ste E",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945349620",
"country_code": "US",
"telephone_number": "707-425-9670",
"fax_number": "707-425-9880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "ALISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-13",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF89426",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "126475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.