Individual provider Active NPI

Emily Catherine Green Flynn, LMFT

  • Marriage & Family Therapist
  • Spartanburg, SC
National Provider Identifier
1396288312
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
8150 Issued in SC
Practice address
460 Langdon St
Spartanburg, SC 29302-1614
Phone
(864) 582-2411
Fax
(864) 582-7178
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X 8150 SC Primary
Counselor 101Y00000X 8150 SC
Marriage & Family Therapist 106H00000X 8113 SC

Addresses

Primary practice location

460 Langdon St
Spartanburg, SC 29302-1614

Mailing address

PO Box 5158
Spartanburg, SC 29304-5158
Phone (864) 594-9459

Other names 1

  • Ms. Emily Catherine Green Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250129002492 SC Practitioner - Marriage and Family Therapist 6709315138 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8113SCMDMarriage & Family Therapist
8150SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients

Locations

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

115 Thomas St
#B
Union, SC 29379

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1396288312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5158",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045158",
            "telephone_number": "864-594-9459",
            "fax_number": "864-241-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 LANGDON ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021614",
            "telephone_number": "864-582-2411",
            "fax_number": "864-582-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN FLYNN",
        "first_name": "EMILY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "8150",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "8150",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "8113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "GREEN",
            "middle_name": "CATHERINE",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.