JENNIFER ELAINE GREEN
NPI 1417615113
Counselor - Professional in Saint Louis, MO

Active since November 30, 2021
12562 BENNINGTON PL, SAINT LOUIS, MO 63146 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Elaine Green NPPES

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

JENNIFER ELAINE GREEN (NPI 1417615113) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2019008151) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1417615113
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER ELAINE GREEN
Location Address12562 BENNINGTON PLSaint Louis, MO 63146-2772
Mailing Address12562 Bennington PlSaint Louis, MO 63146-2772 · (314) 488-9101
Sole ProprietorYes
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
NPI 1417615113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2019008151
12562 BENNINGTON PL, Saint Louis, MO 63146

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 Jennifer Green's NPI number?

The NPI number for Jennifer Green is 1417615113. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Jennifer Green located?

Jennifer Green practices at 12562 Bennington Pl, Saint Louis, MO 63146.

What is Jennifer Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jennifer Green was last updated on November 30, 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.