Fay H Green, LPC; LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

66042 Issued in TX

Practice address

21270 Hardy Oak Blvd, Ste 110
San Antonio, TX 78258-4835

Phone

(210) 602-7488

Fax

(210) 610-9848

NPI assigned

Feb 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• San Antonio Center for Hope and Healing

  • Marriage & Family Therapist
  • San Antonio, TX
  • NPI 1831968049
  NPD

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1609149798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591848",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590142",
            "telephone_number": "210-602-7488",
            "fax_number": "210-610-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21270 HARDY OAK BLVD, STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584835",
            "telephone_number": "210-602-7488",
            "fax_number": "210-610-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "FAY",
        "middle_name": "H",
        "credential": "LPC; LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201589",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deren Robert Green
• Diandra A. Green, PA-C
• Elisabeth Green
• Erin Nicole Green
• Esther Marie Green
• George Green
• Gerald I Green, M.D.
• Jenna Paige Branchizio Green
• John Eddie Green, DDS
• John Edward Green III, MD

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.