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: August 16, 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
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

Accepted Insurance

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 Jonathan Green's NPI number?

The NPI number for Jonathan Green is 1164930756. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Jonathan Green located?

Jonathan Green practices at 207 Ivanhoe Ave, Camillus, NY 13031. The listed phone number is (585) 364-4585.

What is Jonathan Green's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Jonathan Green accept?

Health plans from Blue Cross and Blue Shield of Texas list Jonathan Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Green was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.