Green Country Mental Health & Therapeutic Services, PLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREEN COUNTRY MENTAL HEALTH & THERAPEUTIC SERVICES, PLC

Doing business as

Green Country Therapeutics

Practice address

4325 E 51St St Ste 102
Tulsa, OK 74135-3646

Phone

(539) 302-9192

NPI assigned

Jul 2, 2021

Last updated

Jan 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery Allan Wilson, MS, LPC-S, RPTNPI 1316223431

Title

Managing Director

Phone

(539) 323-0125

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Green Country Therapeutics Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery Allan Wilson

  • Mental Health Counselor
  • Tulsa, OK
  • NPI 1316223431
  NPD Authorized official

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1447821293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 S 130TH WEST AVE",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740632391",
            "telephone_number": "539-323-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 E 51ST ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353646",
            "telephone_number": "539-302-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUNTRY MENTAL HEALTH & THERAPEUTIC SERVICES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "539-323-0125",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC-S, RPT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200420780A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeff@greencountrytherapeutics.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4325 E 51st St Ste 102",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741353646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Green Country Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green Country Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.