Tim Green, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7986 Issued in FL

Practice address

9500 Corkscrew Palms Cir Ste 3
Estero, FL 33928-3307

Phone

(239) 321-0797

Fax

(239) 390-0241

NPI assigned

Aug 22, 2006

Sex

Male

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)

Enrolled

Practice roles

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.

• Tim Green LMHC LLC

  • Mental Health Counselor
  • Estero, FL
  • NPI 1336679950
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1689780603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 AMBURY ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137131",
            "telephone_number": "239-321-0797",
            "fax_number": "239-390-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 CORKSCREW PALMS CIR STE 3",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283307",
            "telephone_number": "239-321-0797",
            "fax_number": "239-390-0241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Education Ave",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339506222",
            "country_code": "US",
            "telephone_number": "941-639-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12431 Brantley Commons Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339075681",
            "country_code": "US",
            "telephone_number": "239-321-0797",
            "fax_number": "239-275-6160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TIM",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Gotham, MD
• Mariah Graham
• Alexander Grasu, DPT
• Gravity Psychology, Inc
• Christopher Michael Green, D.C.
• Scott M. Greenberg, DO
• Melanie Grinshteyn, APRN
• Barbara Carolyn Grogg, FNP
• Edward Eugene Grubbs Jr., BC-HIS
• Joanna Gualtieri, LMHC

• Mental Health Counselor in Estero, FL
• Providers in Estero, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.