Felicia Greene

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37422 Issued in CA

Practice address

4700 Spring St
306
La Mesa, CA 91941-5263

Phone

(619) 464-3664

Fax

(619) 644-1302

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386795482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8529 PORTER HILL TER",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413910",
            "telephone_number": "619-464-3664",
            "fax_number": "619-644-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SPRING ST",
            "address_2": "306",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415263",
            "telephone_number": "619-464-3664",
            "fax_number": "619-644-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "FELICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "37422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "37422",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Clyde Gray, D.D.S.
• Leslie J. Gray, M.D.
• Delaney Ann Grazier
• Garon Anne Green
• Adam Greenberg
• Valinda Laverne Greene, PHD, MS,MA, RN
• Greg Giles, O.D., Inc.
• Charles Raymond Gregg, LMFT
• Jeffrey Woodson Gregg, O.D.
• Kuljinder Singh Grewal, M.D.

• Professional Counselor in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.