Jody Green

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8023 Issued in CA

Practice address

730 Sunrise Ave Ste 200-201
Roseville, CA 95661-4567

Phone

(916) 782-3737

NPI assigned

Jun 20, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1346690476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SUNRISE AVE STE 200-201",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614567",
            "telephone_number": "916-782-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SUNRISE AVE STE 200-201",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614567",
            "telephone_number": "916-782-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5250 Neil Rd",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895026555",
            "country_code": "US",
            "telephone_number": "775-354-5803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JODY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "16-17081",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "8023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Diane Grebe, AMFT
• Jason Bryan Greco, RRT, RRT-NPS
• Green Valley Home Health Care & Hospice, Inc.
• Chavonna Green
• Jamison Green, M.D.
• Krista Jeannette Green
• Mila Genevieve Green, PH.D.
• Patricia Green
• William Raymond Green III
• Stuart D. Greenberg

• Professional Counselor in Roseville, CA
• Providers in Roseville, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.