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JONATHAN GREEN LPC
NPI 1164930756
Counselor in Camillus, NY

Active since January 17, 2018
207 IVANHOE AVE, CAMILLUS, NY 13031(585) 364-4585 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jonathan Green Lpc NPPES

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

JONATHAN GREEN LPC (NPI 1164930756) is an individual counselor in Camillus, New York and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1164930756
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJONATHAN GREENCredential: LPC
Location Address207 IVANHOE AVECamillus, NY 13031-2427
Mailing Address207 Ivanhoe AveCamillus, NY 13031-2427 · (585) 364-4585
Phone(585) 364-4585
Sole ProprietorNo
Enumeration DateJanuary 17, 2018
Last NPPES UpdateApril 19, 2025
NPPES CertifiedApril 19, 2025
✔ NPI 1164930756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

207 IVANHOE AVE, Camillus, NY 13031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Frequently Asked Questions

What is Jonathan Green's NPI number?

The NPI number assigned to this healthcare provider is 1164930756, enumerated as an "individual" on January 17, 2018.

Where is the provider located?

The provider is located at 207 IVANHOE AVE CAMILLUS, NY 13031 and the phone number is (585) 364-4585.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.

What insurance does Jonathan Green accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.