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MRS. CRYSTAL LOUISE GREEN
NPI 1114535150
Counselor - Mental Health in Shelton, WA

Active since July 15, 2020
307 W COTA ST, SHELTON, WA 98584(360) 839-2822(360) 839-2822 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Crystal Louise Green NPPES

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

MRS. CRYSTAL LOUISE GREEN (NPI 1114535150) is an individual mental health provider in Shelton, Washington and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1114535150
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. CRYSTAL LOUISE GREEN
Location Address307 W COTA STShelton, WA 98584-2265
Mailing Address19206 21st St SwLakebay, WA 98349-9280 · (125) 329-2888
Phone(360) 839-2822
Fax(360) 839-2822
Sole ProprietorYes
Enumeration DateJuly 15, 2020
NPPES CertifiedJuly 15, 2020
✔ NPI 1114535150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
307 W COTA ST, Shelton, WA 98584
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Other Names 1

Former Name (1)Ms. Crystal Louise Burns

Other Identifiers 1

Medicaid100000034753WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT IRWIN BROWN III CNA
Nurse's Aide
307 W COTA ST
SHELTON, WA 98584
Mason County (503) 348-3767
LYNEAH MACELLA MACIEL RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8002
WESTON JOSEPH BROUSSARD II
Counselor (Mental Health)
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8002
JENNIFER L WHETSTONE RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001
KRYSTEL NYSTED RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (847) 347-6251
MILONNA CLOSE LMHC
Counselor
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001
CHELEACE RYDER LPN
Licensed Practical Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8011
DEVIN RAY ALLEN AAC
Counselor (Mental Health)
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001

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 Crystal Green's NPI number?

The NPI number for Crystal Green is 1114535150. It was assigned to this individual provider in the NPPES registry on July 15, 2020. The provider is also known as Ms. Crystal Louise Burns.

Where is Crystal Green located?

Crystal Green practices at 307 W Cota St, Shelton, WA 98584. The listed phone number is (360) 839-2822.

What is Crystal Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Crystal Green was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.