Dana Marie Green, LPC, NCGC-II

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2011 Issued in OK

Practice address

717B Highway 70 E
Kingston, OK 73439-8253

Phone

(580) 565-2252

Fax

(580) 564-7187

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Dana Boldt Green Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dana Boldt Green, M.Ed., LPC, NCGC-2, PC

  • Community/Behavioral Health Agency
  • Kingston, OK
  • NPI 1518373513
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1992914162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1800",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734391800",
            "telephone_number": "580-565-2252",
            "fax_number": "580-564-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717B HIGHWAY 70 E",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734398253",
            "telephone_number": "580-565-2252",
            "fax_number": "580-564-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCGC-II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2011",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "LPC2011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "GREEN",
            "middle_name": "BOLDT",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheriden Cheyenne Franks, PHARMD
• Lindsey L French-Hoffman, DO
• Carol Gentry
• Devon Emilee Gilbert, LCSW
• Addie Beth Gratz, ARNP
• Amanda Griffin
• Healthcare and Rehab of Kingston, LLC
• James Howard Hedrick, PHARMD
• Kimberley Jo Hill
• Shannon M Hodges

• Mental Health Counselor in Kingston, OK
• Providers in Kingston, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.