Lee Green Sr.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001979 Issued in VA

Practice address

306 Penrith Xing
Yorktown, VA 23692-2227

Phone

(757) 897-6835

NPI assigned

Jan 24, 2023

Last updated

Mar 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Assure Care Therapeutic Services, LLC

  • Marriage & Family Therapist
  • Yorktown, VA
  • NPI 1811686215
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1548976509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SCOTTS FORD LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224065478",
            "telephone_number": "757-897-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 PENRITH XING",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922227",
            "telephone_number": "757-897-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Goodwin
• Diana M Gordon, FNP
• Niyah Gransbury, MT-BC
• Taryn Raye Grasty
• Tyra Nicole Graves, CCC-SLP
• Nicole Elaine Grey
• Carolyn Griffith, LPC
• Krista Marie Grimmett, PA-C
• Yu Guan, M.D.
• Barbara Jordan Guemple, RPH

• Marriage & Family Therapist in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.