Active NPI
Berdonna Green, SWT, CDCA
- Addiction (Substance Use Disorder) Counselor
- Toledo, OH
National Provider Identifier
1902285604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 110040
- Practice address
- 5151 Monroe St
Toledo, OH 43623-3462 - Phone
- (419) 475-4449
- Fax
- (419) 479-3832
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 110040 | OH | Primary |
| Social Worker | 104100000X | S 1400017-TRNE | OH |
Addresses
Primary practice location
5151 Monroe St
Toledo, OH 43623-3462
Mailing address
5151 Monroe St
Toledo, OH 43623-3462
Phone (419) 475-4449
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 |
|---|---|---|---|
| 110040 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S 1400017-TRNE | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1902285604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5151 MONROE ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233462",
"telephone_number": "419-475-4449",
"fax_number": "419-479-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 MONROE ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233462",
"telephone_number": "419-475-4449",
"fax_number": "419-479-3832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "BERDONNA",
"name_prefix": "Mrs.",
"credential": "SWT, CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "110040",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S 1400017-TRNE",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.