Greenspace Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GREENSPACE COUNSELING

Practice address

6950 W Moose Ridge Cir
Wasilla, AK 99623-9888

Phone

(443) 766-2269

Fax

(907) 416-4542

NPI assigned

Apr 9, 2021

Organization subpart

No

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

Authorized official

Name

Paris P TaylorNPI 1003301755

Title

Owner

Phone

(443) 355-7030

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paris Taylor, LCSW-C

  • Mental Health Counselor
  • Wasilla, AK
  • NPI 1003301755
  Medicare reassignment Care Compare group Authorized official
• Marlene Rodriguez

  • Mental Health Counselor
  • Wasilla, AK
  • NPI 1578197190
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1376123778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 314J",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446216",
            "telephone_number": "443-766-2269",
            "fax_number": "866-629-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 W MOOSE RIDGE CIR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996239888",
            "telephone_number": "443-766-2269",
            "fax_number": "907-416-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSPACE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "PARIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-355-7030"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588606305",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greatland Women'S Healtcare, LLC
• Kandi Green
• Michelle Lynn Green
• Talia Green
• Courtney Greenberg, PHARMD
• Tharren Greenwood
• Kellee Ann Grenier, DPT
• Michael Griffin
• Teresa Griffin
• Adam Grisham

• Clinical Social Worker in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.