DEREN ROBERT GREEN
NPI 1194374215
Counselor - Addiction (Substance Use Disorder) in San Antonio, TX

Q: What is Deren Green's NPI number?

The NPI number for Deren Green is 1194374215. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Q: What is Deren Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Deren Green was last updated on September 11, 2019. 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.

Active since September 11, 2019

1401 DEZARAE LOT #3, SAN ANTONIO, TX 78253(210) 875-1437 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Deren Robert Green NPPES

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

DEREN ROBERT GREEN (NPI 1194374215) is an individual addiction (substance use disorder) provider in San Antonio, Texas, licensed in Texas (12145) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1194374215

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameDEREN ROBERT GREEN

Location Address1401 DEZARAE LOT #3San Antonio, TX 78253

Mailing Address1401 Dezarae Lot #3San Antonio, TX 78253 · (210) 875-1437

Phone(210) 875-1437

Sole ProprietorNo

Enumeration DateSeptember 11, 2019

✔ NPI 1194374215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in TX · 12145

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 Deren Green's NPI number?

The NPI number for Deren Green is 1194374215. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Deren Green located?

Deren Green practices at 1401 Dezarae Lot #3, San Antonio, TX 78253. The listed phone number is (210) 875-1437.

What is Deren Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Deren Green was last updated on September 11, 2019. 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.