TIMOTHY GREEN
NPI 1316639735
Peer Specialist in Traverse City, MI

Active since May 24, 2023
105 HALL ST, TRAVERSE CITY, MI 49684(231) 922-4850 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Green NPPES

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

TIMOTHY GREEN (NPI 1316639735) is an individual peer specialist in Traverse City, Michigan and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1316639735
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTIMOTHY GREEN
Location Address105 HALL STTraverse City, MI 49684-2288
Mailing Address105 Hall StTraverse City, MI 49684-2288
Sole ProprietorNo
Enumeration DateMay 24, 2023
NPPES CertifiedApril 28, 2023
NPI 1316639735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
105 HALL ST, Traverse City, MI 49684

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.

Psychologist
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Community Health Worker
105 HALL ST
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST
TRAVERSE CITY, MI 49684
Case Manager/Care Coordinator
105 HALL ST
TRAVERSE CITY, MI 49684
Registered Nurse (Psychiatric/Mental Health)
105 HALL ST
TRAVERSE CITY, MI 49684
Psychiatry & Neurology (Psychiatry)
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Registered Nurse
105 HALL ST
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST
TRAVERSE CITY, MI 49684

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 Timothy Green's NPI number?

The NPI number for Timothy Green is 1316639735. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Where is Timothy Green located?

Timothy Green practices at 105 Hall St, Traverse City, MI 49684. The listed phone number is (231) 922-4850.

What is Timothy Green's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Timothy Green was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.