MICHELLE ELLEN GREEN NPI 1205123601

NPI Information

  • NPI: 1205123601
  • Provider Name: MICHELLE ELLEN GREEN
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 2550 W CLINTON AVE BLDG B #134
    FRESNO, CA
    ZIP 93705
  • Phone: (559) 293-5441

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NPI Details

Michelle Ellen Green is a peer specialist in Fresno, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Michelle Ellen Green NPI is 1205123601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2550 W CLINTON AVE BLDG B #134
FRESNO, CA
ZIP 93705-206
Phone: (559) 293-5441

The enumeration date for this NPI number is 7/6/2011 and was last updated on 1/17/2024.

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
1175T00000XPeer SpecialistMPSS-EPOTRNCALIFORNIAYes
2175T00000XPeer SpecialistNo
3101YA0400XCounselorAddiction (Substance Use Disorder)No
4101Y00000XCounselorCALIFORNIANo
5103K00000XBehavior AnalystNo
6172V00000XCommunity Health WorkerNo

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: 11/21/2025

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