Stephen C. Green, B.S.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

204 Frankie LN
White Hall, AR 71602-2699

Phone

(870) 247-2305

Fax

(870) 247-2330

NPI assigned

Jun 20, 2014

Sex

Male

Sole proprietor

Yes

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.

• Maxus Inc

  • Mental Health Counselor
  • Newport, AR
  • NPI 1952558264
  NPD (past)
• Maxus Inc.

  • Mental Health Counselor
  • White Hall, AR
  • NPI 1104078997
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2014.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1679987309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 W 26TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035168",
            "telephone_number": "817-721-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 FRANKIE LN",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022699",
            "telephone_number": "870-247-2305",
            "fax_number": "870-247-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "STEPHEN",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel George, LPC
• Tyrone Gooseberry, QBHP
• Nicole Gray
• Ravene Gray, LMSW
• Scott Kevin Gray, D.P.M.
• James Stephen Guffey, PT.ED D
• Zachary Hale, MHPP
• Michael Hanna
• Casey Hanson, PTA
• Morgan Hardman, PHARMD

• All providers in White Hall, AR
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.