JESSE GREEN
NPI 1316679699
Counselor - Mental Health in Crystal Lake, IL
About Jesse Green NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE GREEN (NPI 1316679699) is an individual mental health provider in Crystal Lake, Illinois and active in the NPI registry since June 2022.
NPPES Registry Identity
Specialties & Licenses
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 Jesse Green's NPI number?
The NPI number for Jesse Green is 1316679699. It was assigned to this individual provider in the NPPES registry on June 27, 2022.
Where is Jesse Green located?
Jesse Green practices at 9 Crystal Lake Plz, Crystal Lake, IL 60014. The listed phone number is (815) 900-4554.
What is Jesse 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 Jesse Green was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jesse Green · NPI 1316679699
Mental Health provider in Crystal Lake, Illinois. Individual provider, active in the CMS NPPES registry since June 27, 2022.
## Identity
- **NPI:** 1316679699 (Entity type: Individual)
- **Enumerated:** June 27, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 9 CRYSTAL LAKE PLZ, Crystal Lake, IL 60014-7928
- **Phone:** (815) 900-4554
## Record status
- **NPPES last updated:** June 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1316679699) · Data from the CMS NPPES public registry.