Active NPI
Jamie Prater Green, LCSW
- Professional Counselor
- Nashville, TN
National Provider Identifier
1396875035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LSW4772
- Practice address
- 1921 Ransom PL
Nashville, TN 37217-3841 - Phone
- (615) 279-6735
- Fax
- (615) 297-6702
- NPI assigned
- Mar 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LSW4772 | TN | Primary |
Addresses
Primary practice location
1921 Ransom PL
Nashville, TN 37217-3841
Mailing address
5043 Tabitha St
Murfreesboro, TN 37129-2879
Phone (615) 867-9451
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW4772 | TN | MD | Professional Counselor |
| 4772 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396875035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5043 TABITHA ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371292879",
"telephone_number": "615-867-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 RANSOM PL",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372173841",
"telephone_number": "615-279-6735",
"fax_number": "615-297-6702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JAMIE",
"middle_name": "PRATER",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LSW4772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- 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.