Lynn Green Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LYNN GREEN COUNSELING LLC

Practice address

122 E Main St # 36
Medford, OR 97501-6004

Phone

(541) 843-0828

Fax

(800) 433-1396

NPI assigned

Aug 19, 2021

Organization subpart

No

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

Authorized official

Name

Lynnette Green, LPCNPI 1588183446

Title

Owner

Phone

(541) 843-0828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynnette Green

  • Mental Health Counselor
  • Medford, OR
  • NPI 1588183446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1790451789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4752",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010197",
            "telephone_number": "541-500-8655",
            "fax_number": "800-433-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST # 36",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016004",
            "telephone_number": "541-843-0828",
            "fax_number": "800-433-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975013106",
            "country_code": "US",
            "telephone_number": "541-843-0828",
            "fax_number": "800-433-1396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYNN GREEN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-843-0828",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Lynne Luthy, RNFA
• Yao Luu
• Luxottica Retail North America Inc
• Tina Marie Luzzi
• Quinn Sea Lyding
• Ashley Lyons, RN, BSN
• Lori Ann Lyons
• Pranada Ma, LMT
• Vicky Ma
• Timothy Maccurdy, P.A.

• Community/Behavioral Health Agency in Medford, OR
• Providers in Medford, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.