MR. J. ALEX GREEN LCPCLCADCNCCNBCCH NPI 1295932143

NPI Information

NPI: 1295932143
Provider Name: MR. J. ALEX GREEN, LCPC,LCADC,NCC,NBCCH
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2115 N CHARLES ST
SUITE 200
BALTIMORE, MD
ZIP 21218
Phone: (410) 808-2786
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MR. J. Alex Green, LCPC,LCADC,NCC,NBCCH is a professional counselor in Baltimore, MD. MR. J. Alex Green, LCPC,LCADC,NCC,NBCCH NPI is 1295932143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2115 N CHARLES ST
SUITE 200
BALTIMORE, MD
ZIP 21218-760
Phone: (410) 808-2786
Fax: (410) 715-6984

The enumeration date for this NPI number is 7/2/2007 and was last updated on 5/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LC2308	MARYLAND	No
2	101YP2500X	Counselor	Professional	LC2308	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	014003101	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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