Kathryn Green, MS, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2017013158 Issued in MO

Practice address

734 Demun Ave
Clayton, MO 63105

Phone

(314) 643-9712

NPI assigned

Nov 28, 2017

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

Other names 1

• Kate Green Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1679087738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 IOWA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183021",
            "telephone_number": "910-495-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 DEMUN AVE",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "63105",
            "telephone_number": "314-643-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KATHRYN",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017013158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "GREEN",
            "credential": "MS, LPC, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lauren Goldberger, LSW
• Herbert Goldman
• Charlene Gottlieb, M.D.
• Jonathan I Graham, MSW, LCSW
• Nicole Grass, PLPC
• Rebekah Green
• Suzanne Greenwald, LCSW MSW
• Suzanne Elizabeth Gregoire, PH.D., D.M.D.
• Casey Griebel, NP-C
• Kathleen Elizabeth Gruszka, RN

• Professional Counselor in Clayton, MO
• Providers in Clayton, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.