Active NPI
Estelle Green
- Mental Health Counselor
- Gretna, LA
National Provider Identifier
1891222147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LA006819345
- Practice address
- 1500 Lafayette St
Suite 140
Gretna, LA 70053-5732 - Phone
- (225) 249-9875
- NPI assigned
- May 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LA006819345 | LA | Primary |
Addresses
Primary practice location
1500 Lafayette St
Suite 140
Gretna, LA 70053-5732
Mailing address
266 S Cherry St
Lot 19
Gramercy, LA 70052
Phone (225) 249-9875
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA006819345 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1891222147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 S CHERRY ST",
"address_2": "LOT 19",
"city": "GRAMERCY",
"state": "LA",
"postal_code": "70052",
"telephone_number": "225-249-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LAFAYETTE ST",
"address_2": "SUITE 140",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535732",
"telephone_number": "225-249-9875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ESTELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "LA006819345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.