Tiffany E Green, MAPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

412 N Lake St
Aurora, IL 60506-4106

Phone

(630) 896-2337

Fax

(630) 896-3515

NPI assigned

Sep 8, 2017

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

Practice roles

Locations

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.

• Charism Counseling Center

  • Professional Counselor
  • Chicago, IL
  • NPI 1730752403

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1346768413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064106",
            "telephone_number": "630-896-2337",
            "fax_number": "630-896-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064106",
            "telephone_number": "630-896-2337",
            "fax_number": "630-896-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TIFFANY",
        "middle_name": "E",
        "credential": "MAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Journey Ventures Inc
• Cassidy Green
• Daniel Green
• Mary T Green
• Megan Elizabeth Green, DDS
• Shawna Nicole Greene, DVM, MS, DIPL AEVIM
• Gregory L. Fauth, D.D.S.,P.C.
• Ronald C Gregus, M.D.
• Natalie Gresk
• Cynthia M Griffiths, PT

• Professional Counselor in Aurora, IL
• Providers in Aurora, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.