Green Energy Group

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

149007169 Issued in IL

Legal business name

GREEN ENERGY GROUP

Practice address

16643 Kedzie Ave
Suite 102
Markham, IL 60428

Phone

(708) 299-4378

NPI assigned

Aug 8, 2012

Last updated

Apr 8, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hope A Green, LCSWNPI 1508995804

Title

Clinical Director

Phone

(708) 299-4378

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hope Green, MSW, LCSW

  • Clinical Social Worker
  • Markham, IL
  • NPI 1508995804
  Authorized official Same address or phone

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1689921777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 TURTLE CREEK DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292156",
            "telephone_number": "708-299-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16643 KEDZIE AVE",
            "address_2": "SUITE 102",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "60428",
            "telephone_number": "708-299-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ENERGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "HOPE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "708-299-4378",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "149007169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Connections Health Care
• Aarin C Fisher
• Ladina Gamble, LPN
• Joseph Gatlin, D.P.M.
• Tilesa Renee Gone
• Hope Green, MSW, LCSW
• Tony Hall
• Dymond Hawkins
• Healing Wounds LTD (Maya Family Clinic)
• Janai Hicks

• Preferred Provider Organization in Markham, IL
• Providers in Markham, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.