Individual provider Active NPI

Tina Linette Green, MS, LMFT

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1407231657
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122864 Issued in CA
Practice address
2821 H St
Bakersfield, CA 93301-1913
Phone
(661) 381-8969
NPI assigned
Jul 29, 2015
Last updated
May 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF85769 CA
Marriage & Family Therapist 106H00000X 122864 CA Primary

Addresses

Primary practice location

2821 H St
Bakersfield, CA 93301-1913

Mailing address

29325 Kimberlina Rd.
Wasco, CA 93280
Phone (661) 758-4402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240117003181 CA Practitioner - Marriage and Family Therapist 5597117317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of KernGroup PAC ID 7810887205, 75 clinicians

Practice addresses (Care Compare)

1401 L St
Bakersfield, CA 93301-4522
Phone (661) 868-6600

2001 28TH St
Bakersfield, CA 93301-1924
Phone (661) 868-6600

2525 N Chester Ave
Bakersfield, CA 93308-1770
Phone (661) 868-1800

3300 Truxtun Ave
Bakersfield, CA 93301-3143

PO Box
Suite 1000
Bakersfield, CA 93301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMF85769CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Kern Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
County of Kern Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
College Community Services Past Accepting new patients

Locations

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1407231657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29325 KIMBERLINA RD.",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "93280",
            "telephone_number": "661-758-4402",
            "fax_number": "661-758-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011913",
            "telephone_number": "661-381-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TINA",
        "middle_name": "LINETTE",
        "name_prefix": "Miss",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF85769",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.