Tita Marie Green, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006928 Issued in GA

Practice address

707 Whitlock Ave SW
Suite H-11
Marietta, GA 30064-3000

Phone

(678) 396-2279

Fax

(678) 945-7713

NPI assigned

Apr 11, 2012

Sex

Female

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)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1548526866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2079",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261017",
            "telephone_number": "678-396-2279",
            "fax_number": "678-945-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW",
            "address_2": "SUITE H-11",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643000",
            "telephone_number": "678-396-2279",
            "fax_number": "678-945-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TITA",
        "middle_name": "MARIE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Green, LPC
• Jamaela Green, RN, RNC-OB, C-EFM
• Julia Latoya Green, NP
• Mark Robert Green, M.D.
• Patience Chantel Green, MD
• Ilyssa E Greenberg, D.O.
• Judy Schulman Greenberg, M.ED, LCSW
• Marc F Greenberg, MD
• Yashman Shauntia Greene-Teague, LMFT
• Deidre J Greene, MD

• Professional Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.