Organization Active NPI

Mendez and Green Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Bridgeport, CT
National Provider Identifier
1457119778
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MENDEZ AND GREEN COUNSELING LLC
Practice address
955 Connecticut Ave Ste 5225
Bridgeport, CT 06607-1251
Phone
(203) 556-4632
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Mr. Michael Green, LADC, CACNPI 1811687247
Title
Owner
Phone
(203) 556-4632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

955 Connecticut Ave Ste 5225
Bridgeport, CT 06607-1251

Mailing address

955 Connecticut Ave Ste 5225
Bridgeport, CT 06607-1251
Phone (203) 556-4632

National Provider Directory

National Provider Directory

Locations

955 Connecticut Ave
Ste 5225
Bridgeport, CT 06607
Phone (203) 556-4632

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1457119778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CONNECTICUT AVE STE 5225",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066071251",
            "telephone_number": "203-556-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CONNECTICUT AVE STE 5225",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066071251",
            "telephone_number": "203-556-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDEZ AND GREEN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-556-4632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC, CAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.