Individual provider Active NPI

Hannah Green

  • Counselor
  • Portland, OR
National Provider Identifier
1902368301
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C6506 Issued in OR
Practice address
959 SE Division St Ste 520
Portland, OR 97214-4672
Phone
(971) 315-4781
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C6506 OR
Counselor 101Y00000X C6506 OR Primary

Addresses

Primary practice location

959 SE Division St Ste 520
Portland, OR 97214-4672

Mailing address

959 SE Division St Ste 520
Portland, OR 97214-4672
Phone (971) 315-4781

Other names 1

  • Hannah Rogers Former name

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

LicenseStateTypeSpecialty
C6506ORMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Second Growth Counseling LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

422 SE 79th Ave
Ste 202
Portland, OR 97215

959 SE Division St
Ste 520
Portland, OR 97214
Phone (503) 549-4714

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1902368301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 SE DIVISION ST STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144672",
            "telephone_number": "971-315-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 SE DIVISION ST STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144672",
            "telephone_number": "971-315-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6506",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C6506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "ROGERS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.