Johnny D Green MSHR, LPC,PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4694 Issued in OK

Legal business name

JOHNNY D GREEN MSHR, LPC,PC

Practice address

597 Colt LN
Ardmore, OK 73401-9138

Phone

(580) 277-5423

Fax

(580) 657-2441

NPI assigned

Mar 1, 2014

Last updated

Mar 1, 2014By 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

Mr. Johnny Duane Green, MSHR, LPCNPI 1831411263

Title

Owner

Phone

(580) 277-5423

Specialties & licenses 1

Addresses

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.

• Johnny Duane Green

  • Counselor
  • Madill, OK
  • NPI 1831411263
  NPD (past) Authorized official

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

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393632000000",
    "number": "1346665288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1427",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734021427",
            "telephone_number": "580-277-5423",
            "fax_number": "580-657-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 COLT LN",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734019138",
            "telephone_number": "580-277-5423",
            "fax_number": "580-657-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY D GREEN MSHR, LPC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-01",
        "last_updated": "2014-03-01",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-277-5423",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSHR, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "4694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alicia Jobe
• John B. Barringer OD PC
• Carolyn Johnson
• Cody Johnson
• Darbee Johnson
• Jacy Johnson
• Kathryn Johnson

• Community/Behavioral Health Agency in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2014; 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.