DEWAYNE C GREEN NPI 1801395496

NPI Information

  • NPI: 1801395496
  • Provider Name: DEWAYNE C GREEN
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 41641 N RIDGE RD STE B
    ELYRIA, OH
    ZIP 44035
  • Phone: (440) 324-7406

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NPI Details

Dewayne C Green is an addiction (substance use disorder) counselor in Elyria, OH with 17 years of experience. Dewayne C Green NPI is 1801395496. 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:

41641 N RIDGE RD STE B
ELYRIA, OH
ZIP 44035-264
Phone: (440) 324-7406

The NPI 1801395496 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 2/8/2018 and was last updated on 10/7/2025.

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
1171M00000XCase Manager/Care CoordinatorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)141205OHIOYes

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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