JOAN JACKSON GREEN LPC NPI 1811930209

NPI Information

NPI: 1811930209
Provider Name: JOAN JACKSON GREEN, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4960 SPRINGHOUSE DR
SPRINGDALE, AR
ZIP 72762
Phone: (479) 750-2020
Get Directions

Joan Jackson Green, LPC is a professional counselor in Springdale, AR. Joan Jackson Green, LPC NPI is 1811930209. 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:

4960 SPRINGHOUSE DR
SPRINGDALE, AR
ZIP 72762-261
Phone: (479) 750-2020
Fax: (479) 872-1883

The enumeration date for this NPI number is 6/13/2006 and was last updated on 7/8/2007.

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	101YP2500X	Counselor	Professional	P9911024	ARKANSAS	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	5X656	OTHER	ARKANSAS	BLUE SHIELD PROVIDER #

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: 11/14/2023

NPI Synchronization or Removal

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