Active NPI
Green Acres Counseling and Group Services LLC
- Counselor
- Cleveland, OH
National Provider Identifier
1417514654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- GREEN ACRES COUNSELING AND GROUP SERVICES LLC
- Practice address
- 3100 E 45TH St Ste 212C
Cleveland, OH 44127-1093 - Phone
- (216) 438-2846
- NPI assigned
- May 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn Green, LIDCD.161732
- Title
- Owner
- Phone
- (216) 633-8644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3100 E 45TH St Ste 212C
Cleveland, OH 44127-1093
Mailing address
2283 E 100TH St
Cleveland, OH 44106-3501
Phone (216) 633-8644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0287012 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
17325 Euclid Ave
Ste 4031
Cleveland, OH 44112
3100 E 45th St
Ste 212C
Cleveland, OH 44127
Phone (216) 438-2846
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Cleveland, OH
- NPI 1861842551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680134400000",
"number": "1417514654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2283 E 100TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441063501",
"telephone_number": "216-633-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 E 45TH ST STE 212C",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441271093",
"telephone_number": "216-438-2846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN ACRES COUNSELING AND GROUP SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-23",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-633-8644",
"authorized_official_credential": "LIDCD.161732"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0287012",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.