Wynette Benson Green, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT2794 Issued in FL

Practice address

4101 Ravenswood Rd
Suite 323
Fort Lauderdale, FL 33312-5373

Phone

(954) 316-4926

NPI assigned

May 28, 2013

Last updated

May 28, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Institute for Family Centered Services

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
  • NPI 1477608297
  NPD (past)
• Pinnacle Family Services of Florida, LLC.

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
  • NPI 1669848941
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1720425911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 RAVENSWOOD RD",
            "address_2": "SUITE 323",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125373",
            "telephone_number": "954-316-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 RAVENSWOOD RD",
            "address_2": "SUITE 323",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125373",
            "telephone_number": "954-316-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "WYNETTE",
        "middle_name": "BENSON",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Green, DO
• Kerry Lynn Green
• Railton Green, M.D.
• Shelley K Green, PH.D., LMFT
• Sherae Monique Green
• Rachel Lynn Greenberg
• Taneshia Althea Greenidge, M.A.
• Paul Greenman, DPM
• Greenstein Chiropractic & Health Management PA
• Nate Greenstein, D.C.

• Marriage & Family Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.