DR. JACQUALYN F. GREEN PH.D. - NPI 1093861932 - Marriage & Family Therapist in Indianapolis, IN

Q: What is Jacqualyn Green's NPI number?

The NPI number for Jacqualyn Green is 1093861932. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Jacqualyn Green's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqualyn Green was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Jacqualyn F. Green Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUALYN F. GREEN PH.D. (NPI 1093861932) is an individual marriage & family therapist in Indianapolis, Indiana, licensed in Indiana (35000324A) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1093861932

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDR. JACQUALYN F. GREENCredential: PH.D.

Location Address4755 KINGSWAY DR STE 308Indianapolis, IN 46205-1571

Mailing Address4755 Kingsway Dr Ste 308Indianapolis, IN 46205-1571 · (317) 257-6773 · Fax (317) 863-1414

Phone(317) 257-6773

Fax(317) 863-1414

Sole ProprietorYes

Enumeration DateJanuary 25, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1093861932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in IN · 35000324A

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 34000712A (IN)

4755 KINGSWAY DR STE 308, Indianapolis, IN 46205

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqualyn Green's NPI number?

The NPI number for Jacqualyn Green is 1093861932. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Jacqualyn Green located?

Jacqualyn Green practices at 4755 Kingsway Dr Ste 308, Indianapolis, IN 46205. The listed phone number is (317) 257-6773.

What is Jacqualyn Green's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Jacqualyn Green was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.