Syreeta Green, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF79963 Issued in CA

Practice address

15437 Anacapa Rd Ste 23
Victorville, CA 92392-2458

Phone

(518) 722-4919

Fax

(760) 241-5974

NPI assigned

Oct 28, 2016

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)

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.

• Peace of Mind Therapy, Inc

  • Marriage & Family Therapist
  • Victorville, CA
  • NPI 1700519642
  NPD Authorized official
• Peace of Mind Therapy, LLC

  • Marriage & Family Therapist
  • Victorville, CA
  • NPI 1760115695
  NPD Authorized official
• Nspiring Change- Marriage and Family Therapy Inc

  • Marriage & Family Therapist
  • Victorville, CA
  • NPI 1184240459
  NPD (past)

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1679025308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16733 SUNHILL DR APT C108",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954556",
            "telephone_number": "518-722-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15437 ANACAPA RD STE 23",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922458",
            "telephone_number": "518-722-4919",
            "fax_number": "760-241-5974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14344 Cajon Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923924301",
            "country_code": "US",
            "telephone_number": "760-243-3999",
            "fax_number": "760-243-9559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SYREETA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF79963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Med Trans, Inc.
• Green Tree Residence LLC
• Mercedes D Green, PH.D.
• Monika Green
• Sonya N Green
• Jahsaan Greene
• Sophia Greene
• Jennifer Greeno
• Margarete Regina Greenwood, MSW
• Eric L Gregg, DMD

• Marriage & Family Therapist in Victorville, CA
• Providers in Victorville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.