KENDRELL GREEN
NPI 1336852631
Counselor - Addiction (Substance Use Disorder) in Weldon, NC

Q: What is Kendrell Green's NPI number?

The NPI number for Kendrell Green is 1336852631. It was assigned to this individual provider in the NPPES registry on January 2, 2023.

Q: What is Kendrell 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 Kendrell Green was last updated on January 2, 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.

Active since January 02, 2023

100 ELM ST, WELDON, NC 27890(252) 537-4005 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kendrell Green NPPES

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

KENDRELL GREEN (NPI 1336852631) is an individual addiction (substance use disorder) provider in Weldon, North Carolina and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1336852631

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameKENDRELL GREEN

Location Address100 ELM STWeldon, NC 27890-1934

Mailing Address1215 Alpha RdHenderson, NC 27536-2523 · (252) 203-3945

Phone(252) 537-4005

Sole ProprietorYes

Enumeration DateJanuary 2, 2023

NPPES CertifiedJanuary 2, 2023

✔ NPI 1336852631 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

100 ELM ST, Weldon, NC 27890

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAURICE DAVIS DDS PA

Dentist (General Practice)

100 ELM ST
WELDON, NC 27890

Halifax County (252) 536-3105

DR. LATORIA S FLEMING PHD, LPCA

Counselor (Professional)

100 ELM ST
WELDON, NC 27890

Halifax County (252) 578-0102

CW COUNSELING SERVICES INC.

Community/Behavioral Health

100 ELM ST
WELDON, NC 27890

Halifax County (252) 537-4005

MR. CLINTON MCCRAY WILLIAMS LCMHCS

Counselor (Mental Health)

100 ELM ST
WELDON, NC 27890

Halifax County (522) 537-4005

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 Kendrell Green's NPI number?

The NPI number for Kendrell Green is 1336852631. It was assigned to this individual provider in the NPPES registry on January 2, 2023.

Where is Kendrell Green located?

Kendrell Green practices at 100 Elm St, Weldon, NC 27890. The listed phone number is (252) 537-4005.

What is Kendrell 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 Kendrell Green was last updated on January 2, 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.