Individual provider Active NPI

Cheryl M Green, MA,L.M.H.C.; L.M.F.T

  • Marriage & Family Therapist
  • Brimfield, MA
National Provider Identifier
1457523037
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
947 Issued in MA
Practice address
22 Brookfield Rd
Brimfield, MA 01010-9794
Phone
(413) 245-9244
NPI assigned
Mar 24, 2008
Last updated
Mar 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 947 MA Primary

Addresses

Primary practice location

22 Brookfield Rd
Brimfield, MA 01010-9794

Mailing address

22 Brookfield Rd
P.O. Box 255
Brimfield, MA 01010-9794
Phone (413) 245-9244

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
947MAMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1457523037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BROOKFIELD RD",
            "address_2": "P.O. BOX 255",
            "city": "BRIMFIELD",
            "state": "MA",
            "postal_code": "010109794",
            "telephone_number": "413-245-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BROOKFIELD RD",
            "city": "BRIMFIELD",
            "state": "MA",
            "postal_code": "010109794",
            "telephone_number": "413-245-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CHERYL",
        "middle_name": "M",
        "credential": "MA,L.M.H.C.; L.M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brimfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.