Pat Green, PH.D., CRC

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

License

00015299

Practice address

917 N Martin Luther King Jr St
Natchez, MS 39120-2826

Phone

(908) 361-9831

Fax

(601) 445-0969

NPI assigned

Nov 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1992072730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 MARTIN LUTHER KING, JR. ST.",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "39120",
            "telephone_number": "908-361-9831",
            "fax_number": "601-445-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N MARTIN LUTHER KING JR ST",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391202826",
            "telephone_number": "908-361-9831",
            "fax_number": "601-445-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PAT",
        "name_prefix": "Dr.",
        "credential": "PH.D., CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": "00015299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Coates Goldman
• T'Ambria Goldsberry
• Tiara Goldsberry
• Sarah Redd Gousset, FNP-C
• Keedra Alesia Green, MS, CCC-SLP
• Paula Green, PHARM D
• Rochelle Green
• Tamika S Greenwood-Johnson
• Sabrina Grinnell
• Duncan Franklin Guedon, M.D.

• Rehabilitation Counselor in Natchez, MS
• Providers in Natchez, MS by specialty
• Rehabilitation Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.