Individual provider Active NPI

Daniel George Greene, LCMHC, MLADC

  • Mental Health Counselor
  • Sanbornville, NH
National Provider Identifier
1861619066
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2395 Issued in NH
Practice address
151 Pray Hill Rd
Sanbornville, NH 03872-3550
Phone
(603) 730-4364
NPI assigned
Apr 19, 2007
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2395 NH Primary

Addresses

Primary practice location

151 Pray Hill Rd
Sanbornville, NH 03872-3550

Mailing address

151 Pray Hill Rd
Sanbornville, NH 03872-3550
Phone (603) 730-4364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304001735 NH Practitioner - Mental Health Counselor 7810332541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2395NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
White Horse Addiction Center Inc. Multi-Specialty CurrentSince Jan 17, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1861619066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 PRAY HILL RD",
            "city": "SANBORNVILLE",
            "state": "NH",
            "postal_code": "038723550",
            "telephone_number": "603-730-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 PRAY HILL RD",
            "city": "SANBORNVILLE",
            "state": "NH",
            "postal_code": "038723550",
            "telephone_number": "603-730-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DANIEL",
        "middle_name": "GEORGE",
        "credential": "LCMHC, MLADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanbornville, NH

Sources for this page

Verify at the official NPI Registry.