Greenville Youth Services

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Legal business name

GREENVILLE YOUTH SERVICES

Practice address

9313 Mountain Range Ave
Las Vegas, NV 89129-7833

Phone

(702) 743-9391

NPI assigned

Mar 11, 2011

Last updated

Jul 12, 2011By 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

Mr. Michael GreenNPI 1497043434

Title

Owner

Phone

(702) 743-9391

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Michael Green

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1497043434
  NPD (past) Authorized official

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1780982918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 MOUNTAIN RANGE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MOUNTAIN RANGE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297833",
            "telephone_number": "702-743-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-743-9391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005051907",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luellen Ann Greenlick, NP
• Greenlight Therapy LLC
• Keisha Latrenda Greenlow
• Pamela Lynne Greenspon, M.D.
• Francine L Greenstein, MFT
• Gary Greenwade
• Gregory Walter Greenwood, D.M.D.
• Jessica Ann Greenwood, MS
• Jonah Greenwood
• Christin L Greer, LCSW

• Rehabilitation Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.