Individual provider Active NPI

Shameitra N. Green, M.A., LMFT, LCPI

  • Marriage & Family Therapist
  • Pearland, TX
National Provider Identifier
1861767956
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201441 Issued in TX
Practice address
12234 Shadow Creek Pkwy
Ste. 1108
Pearland, TX 77584-7330
Phone
(281) 846-5393
NPI assigned
Mar 21, 2012
Last updated
Nov 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 67376 TX
Marriage & Family Therapist 106H00000X 201441 TX Primary

Addresses

Primary practice location

12234 Shadow Creek Pkwy
Ste. 1108
Pearland, TX 77584-7330

Mailing address

12234 Shadow Creek Pkwy
Ste. 1108
Pearland, TX 77584-7330
Phone (281) 846-5393

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
201441TXMDMarriage & Family Therapist
67376TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1861767956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY",
            "address_2": "STE. 1108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847330",
            "telephone_number": "281-846-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY",
            "address_2": "STE. 1108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847330",
            "telephone_number": "281-846-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SHAMEITRA",
        "middle_name": "N.",
        "credential": "M.A., LMFT, LCPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67376",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.