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MAURISSA GREEN MED, BA, PEL
NPI 1376214577
Counselor - School in Homewood, IL

Active since September 27, 2021
900 RIDGE RD STE 1S, HOMEWOOD, IL 60430(708) 637-1672 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maurissa Green Med, Ba, Pel NPPES

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

MAURISSA GREEN MED, BA, PEL (NPI 1376214577) is an individual school provider in Homewood, Illinois, licensed in Illinois (2422001) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1376214577
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameMAURISSA GREENCredential: MED, BA, PEL
Location Address900 RIDGE RD STE 1SHomewood, IL 60430-1934
Mailing Address11 Oak LnPark Forest, IL 60466-2030 · (312) 918-4610
Phone(708) 637-1672
Sole ProprietorYes
Enumeration DateSeptember 27, 2021
NPPES CertifiedSeptember 10, 2021
✔ NPI 1376214577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in IL · 2422001
900 RIDGE RD STE 1S, Homewood, IL 60430
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Other Providers at the Same Location NPPES 14

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

RAVEN BURNS
Social Worker (Clinical)
900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
Cook County (708) 637-1672
TREMAYNE CURRY
Social Worker (Clinical)
900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
Cook County (708) 637-1672
MWC FOUNDATION INC.
Social Worker (Clinical)
900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
Cook County (708) 637-1672
AUTUMN R CANO
Counselor (Mental Health)
900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
Cook County (708) 637-1672
YOLANDA ANSARI
Social Worker
900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
Cook County (708) 637-1672
JASON L HAMILTON
Social Worker
900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
Cook County (708) 637-1672
DR. CARLY NICOLE JONES ED.D
Counselor
900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
Cook County (312) 320-7733
ALPHIA MILLER
Social Worker (Clinical)
900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
Cook County (708) 637-1672

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 Maurissa Green's NPI number?

The NPI number for Maurissa Green is 1376214577. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Maurissa Green located?

Maurissa Green practices at 900 Ridge Rd Ste 1S, Homewood, IL 60430. The listed phone number is (708) 637-1672.

What is Maurissa Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Maurissa Green was last updated on September 27, 2021. 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.