The M.E. Green House

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-063-102 Issued in NC

Legal business name

THE M.E. GREEN HOUSE

Practice address

139 Pinehurst Ave Ste a
Southern Pines, NC 28387-7099

Phone

(803) 554-9683

Fax

(803) 693-0829

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Melani GreenNPI 1821387226

Title

Owner

Phone

(803) 554-8638

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melani Green, LPC

  • Professional Counselor
  • Southern Pines, NC
  • NPI 1821387226
  NPD Authorized official
• Gabrielle Denize Newsam, M.D.

  • General Practice Physician
  • Raleigh, NC
  • NPI 1740512938
  NPD
• Julia Bridges, LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Southern Pines, NC
  • NPI 1295445492
  NPD (past)
• Tomesha Comery

  • Clinical Social Worker
  • Southern Pines, NC
  • NPI 1720796170
  NPD (past)
• Melton Stonewall Ellerbe, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Southern Pines, NC
  • NPI 1962699033
  NPD (past)
• Ciara Monique Suros, MSW, LCSW-A, LCAS

  • Clinical Social Worker
  • Sanford, NC
  • NPI 1649886714
  NPD (past)

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1891069761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 PINEHURST AVE STE A",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877099",
            "telephone_number": "910-725-1246",
            "fax_number": "803-693-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 PINEHURST AVE STE A",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877099",
            "telephone_number": "803-554-9683",
            "fax_number": "803-693-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE M.E. GREEN HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MELANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-554-8638",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-063-102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303591",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.