Active NPI
Garrett H Green, LPC
- Professional Counselor
- Gwinn, MI
National Provider Identifier
1689087959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401013014
- Practice address
- 135 E M35
Gwinn, MI 49841-9160 - Phone
- (906) 346-9275
- NPI assigned
- Jun 4, 2014
- Last updated
- Apr 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401013014 | MI | Primary |
Addresses
Primary practice location
135 E M35
Gwinn, MI 49841-9160
Mailing address
506 Campus Dr
Hancock, MI 49930-1569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013014 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460073600000",
"number": "1689087959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 CAMPUS DR",
"city": "HANCOCK",
"state": "MI",
"postal_code": "499301569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 E M35",
"city": "GWINN",
"state": "MI",
"postal_code": "498419160",
"telephone_number": "906-346-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "GARRETT",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-04",
"last_updated": "2016-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401013014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gwinn, MI
- Ashley E Croasdell, FNP
- Sandra Croasdell, FNP-BC
- Ericka Marie Distefano, FNP, ACUPUNCTURIST
- Andrew James Ekdahl, D.D.S.
- Collene Nicole Froberg, D.C.
- Gwendolyn Buck DDS PLLC (Northern Trails Dental Care)
- Gwendolyn Buck DDS PLLC
- Linda Helen Hammond
- Ralph L Harmon Jr., LMSW, CAADC
- Melissa Kristine Hinkhouse, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.