Active NPI
Vikki Louise Green, L.P.C.
- Professional Counselor
- Harper Woods, MI
National Provider Identifier
1770694077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401008028
- Practice address
- 20601 Van Antwerp St
Harper Woods, MI 48225-1403 - Phone
- (248) 633-6584
- Fax
- (313) 640-9211
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 6401008028 | MI | Primary |
Addresses
Primary practice location
20601 Van Antwerp St
Harper Woods, MI 48225-1403
Mailing address
20601 Van Antwerp St
Harper Woods, MI 48225-1403
Phone (248) 633-6584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401008028 | Other | MI | STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401008028 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CLW Adult Day Care Service LLC | Past | Accepting new patients | |
| New Center Community Mental Health Services | Past | Accepting new patients | |
| New Center Community Mental Health Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Adult Day Care Clinic/Center
- River Rouge, MI
- NPI 1497058549
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1306864129
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1588672091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460246400000",
"number": "1770694077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20601 VAN ANTWERP ST",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251403",
"telephone_number": "248-633-6584",
"fax_number": "313-640-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20601 VAN ANTWERP ST",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251403",
"telephone_number": "248-633-6584",
"fax_number": "313-640-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "VIKKI",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2016-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401008028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "6401008028",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harper Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.