Greenpath Clinic

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

GREENPATH CLINIC

Practice address

2132 Deep Water LN Ste 240
Naperville, IL 60564-8565

Phone

(630) 272-5149

NPI assigned

Jan 21, 2020

Last updated

Jan 22, 2020By 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

Greg Persun

Title

General Manager

Phone

(630) 272-5149

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1356971170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 DEEP WATER LN STE 240",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648565",
            "telephone_number": "630-272-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 DEEP WATER LN STE 240",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648565",
            "telephone_number": "630-272-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENPATH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "PERSUN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "630-272-5149"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney R Green, MS, CCC-SLP
• Morissa Green, LSW
• Stacie Joy Green, RBT
• Jennifer Alison Greene
• Jillian Jane Greenfield, MS, CF-SLP
• Jamaira Greer
• Michael James Gregg, LSW
• Wayne Thomas Gregoire, R.PH.
• Terriana Gregory
• Janet Ann Greif, LCSW

• Counseling Psychologist in Naperville, IL
• Providers in Naperville, IL by specialty
• Counseling Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.