Active NPI
Mary Morehouse Greene, LPC
- Professional Counselor
- Albemarle, NC
National Provider Identifier
1417977604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3614
- Practice address
- 301 Yadkin St.
Stanly Regional Medical Center
Albemarle, NC 28002 - Phone
- (704) 874-4107
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 3614 | NC | Primary |
Addresses
Primary practice location
301 Yadkin St.
Stanly Regional Medical Center
Albemarle, NC 28002
Mailing address
16131 Pless Mill Rd
Stanfield, NC 28163-7570
Phone (704) 485-3564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128R8 | Other | NC | BLUE CROSS AND BLUE SHIEL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3614 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417977604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16131 PLESS MILL RD",
"city": "STANFIELD",
"state": "NC",
"postal_code": "281637570",
"telephone_number": "704-485-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 YADKIN ST.",
"address_2": "STANLY REGIONAL MEDICAL CENTER",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "28002",
"telephone_number": "704-874-4107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "MARY",
"middle_name": "MOREHOUSE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "128R8",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albemarle, NC
- Goshen Medical Center Incorporated (GMC Pharmacy at Albemarle)
- Goshen Medical Center, Incorporated (Goshen Medical Center - Albemarle)
- Press Lee Gray, RPH
- John L Green, MD
- Meghan Huneycutt Green, LCMHC-A
- Emily Rose Greenlee, FNP-C
- Ajay Gupta, MD
- Neeraj Gupta, MS,RPH
- Peter B Gusmer, MD
- Douglas W Haden, MD
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.