Douglas Green, MA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0701005090 Issued in VA

Practice address

8715 Plantation LN
Ste 301 a
Manassas, VA 20110-8323

Phone

(571) 232-6506

Fax

(703) 649-6471

NPI assigned

Aug 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• DG Counseling Company

  • Counselor
  • Manassas, VA
  • NPI 1750717807
  NPD (past) Authorized official

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1376822445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 REDMON LN",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226304957",
            "telephone_number": "571-208-2056",
            "fax_number": "703-649-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 PLANTATION LN",
            "address_2": "STE 301 A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108323",
            "telephone_number": "571-232-6506",
            "fax_number": "703-649-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701005090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Prince William Area Community Health Center Inc (Greater Prince William Community Health Center)
• Greater Prince William Area Community Health Center Inc (Lunera Pharmacy Manassas)
• Greater Prince William Area Community Health Center Inc (Greater Prince William Community Health Center)
• Greater Prince William Area Community Health Center Inc (Evergreen Terrace Building)
• Kondeh Augusta Greaves, MD DOCTOR OF MEDICIN
• Emily Green
• Karen E Greenberg, PHD
• Amy Rae Greenough
• Belinda Greis, MS, CCC-SLP
• Francis Mervan Gress Jr., M.D.

• Counselor in Manassas, VA
• Providers in Manassas, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.