Active NPI
Angelique Emiritha Green, LCDC
- Addiction (Substance Use Disorder) Counselor
- Kingwood, TX
National Provider Identifier
1801132816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10627
- Practice address
- 2527 Chestnut Ridge Dr
Kingwood, TX 77339-3031 - Phone
- (281) 348-9008
- Fax
- (832) 519-1664
- NPI assigned
- Dec 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10627 | TX | Primary |
Addresses
Primary practice location
2527 Chestnut Ridge Dr
Kingwood, TX 77339-3031
Mailing address
2527 Chestnut Ridge Dr
Kingwood, TX 77339-3031
Phone (281) 348-9008
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1801132816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 CHESTNUT RIDGE DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393031",
"telephone_number": "281-348-9008",
"fax_number": "832-519-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2527 CHESTNUT RIDGE DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393031",
"telephone_number": "281-348-9008",
"fax_number": "832-519-1664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ANGELIQUE",
"middle_name": "EMIRITHA",
"name_prefix": "Ms.",
"credential": "LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-19",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "10627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
- Greater Houston Family Practice LLC
- Greater Houston Infectious Disease Associates, PLLC
- Greater Houston Infectious Diseases Center PA
- Greater Houston Physician'S Medical
- Deborah Brasher Greco, LCSW
- Laquanna Green, LPC-A
- Cindy A Greenberg, M.D.
- Spencer Corey Greene, M.D.
- Wendell A Grogan, MD
- McKenze Gail Grohman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.