CANDICE MICHELLE GREEN M.S NPI 1780904318

NPI Information

  • NPI: 1780904318
  • Provider Name: CANDICE MICHELLE GREEN, M.S
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1402 N FLORENCE AVE STE B
    CLAREMORE, OK
    ZIP 74017
  • Phone: (918) 619-3833

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NPI Details

Candice Michelle Green, M.S is a mental health counselor in Claremore, OK with 14 years of experience. Candice Michelle Green, M.S NPI is 1780904318. 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:

1402 N FLORENCE AVE STE B
CLAREMORE, OK
ZIP 74017-159
Phone: (918) 619-3833

The NPI 1780904318 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 6/5/2010 and was last updated on 10/2/2025.

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
1101YM0800XCounselorMental Health0017454COLORADONo
2101YM0800XCounselorMental Health5437OKLAHOMANo
3101YM0800XCounselorMental HealthYes
4101YM0800XCounselorMental Health100100TEXASNo
5101YM0800XCounselorMental HealthE.2505556OHIONo
6101YM0800XCounselorMental HealthE.2505556NEW JERSEYNo

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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