Trenton Lamar Green, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PLC9729 Issued in LA

Practice address

803 Brisco Ave
Bastrop, LA 71220-5161

Phone

(318) 283-3299

Fax

(318) 283-3298

NPI assigned

May 12, 2023

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Body & Soul Services, Inc.

  dba Body & Soul Rehabilitation Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bastrop, LA
  • NPI 1285193185
  NPD (past)

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1811687726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 BRISCO AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205161",
            "telephone_number": "318-283-3299",
            "fax_number": "318-283-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 BRISCO AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205161",
            "telephone_number": "318-283-3299",
            "fax_number": "318-283-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TRENTON",
        "middle_name": "LAMAR",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC9729",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon L Grantham, LCSW
• Janika E Gray, PT, DPT
• Curt Green
• Randy Green
• Sheila C Green, LPC
• Shamijah Griffin
• Tyler Guice, LPTA
• Janos G Guoth, M.D.
• K'Shana Hall
• Jahleel Hamlin

• Mental Health Counselor in Bastrop, LA
• Providers in Bastrop, 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 Jul 31, 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.