Active NPI
Hallie Green, LMHC
- Professional Counselor
- Olean, NY
National Provider Identifier
1376178152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 010196
- Practice address
- 2676 W State St
Olean, NY 14760-1825 - Phone
- (716) 790-8202
- NPI assigned
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC012481 | PA | |
| Professional Counselor | 101YP2500X | TPMC5177 | FL | |
| Professional Counselor | 101YP2500X | 010196 | NY | Primary |
Addresses
Primary practice location
2676 W State St
Olean, NY 14760-1825
Mailing address
2676 W State St
Olean, NY 14760-1825
Phone (716) 790-8202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPMC5177 | FL | MD | Professional Counselor |
| PC012481 | PA | MD | Professional Counselor |
| 010196 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1376178152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2676 W STATE ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601825",
"telephone_number": "716-790-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2676 W STATE ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601825",
"telephone_number": "716-790-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "HALLIE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012481",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "TPMC5177",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "010196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.