Amber Janielle Green, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PLC8418 Issued in LA

Practice address

2912 Valley View Dr
Shreveport, LA 71108-4934

Phone

(318) 626-7143

NPI assigned

Mar 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amber Janielle Latson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Assured Behavioral Concepts

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1104168566
  NPD

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1780261552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9718 AIELLO LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067440",
            "telephone_number": "318-638-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 VALLEY VIEW DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711084934",
            "telephone_number": "318-626-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AMBER",
        "middle_name": "JANIELLE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "PLC8418",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC8418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "LATSON",
            "middle_name": "JANIELLE",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Irene Grayson, LCSW
• Michael Angelo Greco, D.D.S.
• Terri Green-Anderson, LMSW, LAC
• Demetria Green-Taylor
• La'Shundra Renee Green-Washington, FNP-C
• Andrew Emmons Green, M.D.
• Artavya Green
• Asantra Green
• Ashlyn Scheinost Green, MD
• Bertha Green

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.