Jason Thomas Green, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1401 N Michael Way
#G133
Las Vegas, NV 89108-1491

Phone

(702) 287-0218

NPI assigned

Jul 16, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1770896979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N MICHAEL WAY",
            "address_2": "#G133",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081491",
            "telephone_number": "702-287-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N MICHAEL WAY",
            "address_2": "#G133",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081491",
            "telephone_number": "702-287-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT VALID",
            "identifier": "NOT VALID",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ishali Green
• Ivan Jerome Green
• James Green
• Jaqueline R Green
• Jasmine Green
• Jayuna R Green
• Jeremy Todd Green
• Jeremy Tremain Green
• Jonaisha Green
• Joseph Green

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.