Troy Green

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00004152 Issued in WA

Practice address

315 W Marcy Ave
Montesano, WA 98563-3618

Phone

(360) 482-2674

NPI assigned

May 24, 2010

Last updated

May 24, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Healthy Risk, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Montesano, WA
  • NPI 1730222837
  Authorized official Same address or phone

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1467771840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1034",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985411034",
            "telephone_number": "360-482-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W MARCY AVE",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633618",
            "telephone_number": "360-482-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TROY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00004152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Alexis Grajek
• Grant W Jackson MD PS
• Grays Harbor Community Hospital (GHCH Aberdeen F Street Clinic)
• Grays Harbor Community Hospital (GHCH Montesano Clinic)
• Grays Harbor County (Grays Harbor County Jail Medical)
• Carole August Grigg, LCSW
• Gunter & Messick DDS PLLC (Broadway Dental)
• Lance Gunter, D.D.S.
• Megan Renee Hammon, PTA
• Joshua Yosemite Haney, LMT

• Addiction (Substance Use Disorder) Counselor in Montesano, WA
• Providers in Montesano, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.