U'Dana Lynell Green, MA, CI 5108

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5555 Beechwood Dr
Baton Rouge, LA 70805-1806

Phone

(225) 341-3568

Fax

(225) 341-3569

NPI assigned

Jan 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. U'Dana Lynell Green I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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

• Amikids Baton Rouge, Inc.

  • Counselor
  • Baton Rouge, LA
  • NPI 1538450184

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1881050771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 BEECHWOOD DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708051806",
            "telephone_number": "225-341-3568",
            "fax_number": "225-341-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 BEECHWOOD DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708051806",
            "telephone_number": "225-341-3568",
            "fax_number": "225-341-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "U'DANA",
        "middle_name": "LYNELL",
        "name_prefix": "Ms.",
        "credential": "MA, CI 5108",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "U'DANA",
            "last_name": "GREEN",
            "middle_name": "LYNELL",
            "prefix": "MS.",
            "suffix": "I",
            "credential": "MA, CI 5108",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pamela Green
• Samaki Sanders Green, N.P.
• Shannon Green
• Stacy L Green
• Sydney Kate Green, PT, DPT
• Ethan L Greenblatt, M.D.
• Ashley Virginia Greene, MS, LOTR
• Craig Castleman Greene, M.D.
• Emily Aaron Greene, LOTR
• Jason Greene, PT

• Mental Health Counselor in Baton Rouge, LA
• Providers in Baton Rouge, 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 Jan 7, 2016; 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.