JOHAN GREEN LADC NPI 1619335916

NPI Information

  • NPI: 1619335916
  • Provider Name: JOHAN GREEN, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1135 FALLS BRIDGE RD
    WILLIAMSTOWN, VT
    ZIP 05679
  • Phone: (603) 593-2444

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NPI Details

Johan Green, LADC is an addiction (substance use disorder) counselor in Williamstown, VT. Johan Green, LADC NPI is 1619335916. 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:

1135 FALLS BRIDGE RD
WILLIAMSTOWN, VT
ZIP 05679-438
Phone: (603) 593-2444

The NPI 1619335916 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/2/2016 and was last updated on 8/16/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)18658MASSACHUSETTSYes

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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