JERRY EUGENE GREEN M.A.
NPI 1447439690
Counselor - Professional in Renton, WA

Active since October 24, 2007
15 S GRADY WAY STE 310, RENTON, WA 98057(425) 652-1886 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry Eugene Green M.a. NPPES

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

JERRY EUGENE GREEN M.A. (NPI 1447439690) is an individual professional provider in Renton, Washington, licensed in Washington (RC00015663) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1447439690
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJERRY EUGENE GREENCredential: M.A.
Location Address15 S GRADY WAY STE 310Renton, WA 98057-3215
Mailing Address7832 196th St Sw, #15Edmonds, WA 98026-6556 · (425) 652-1886
Sole ProprietorYes
Enumeration DateOctober 24, 2007
Last NPPES UpdateJuly 12, 2019
NPI 1447439690 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 WA · RC00015663
15 S GRADY WAY STE 310, Renton, WA 98057

Accepted Insurance

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.

Counselor (Mental Health)
15 S GRADY WAY STE 310
RENTON, WA 98057
Registered Nurse
15 S GRADY WAY STE 310
RENTON, WA 98057
Counselor (Mental Health)
15 S GRADY WAY STE 310
RENTON, WA 98057
Community/Behavioral Health
15 S GRADY WAY STE 310
RENTON, WA 98057

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 Jerry Green's NPI number?

The NPI number for Jerry Green is 1447439690. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Where is Jerry Green located?

Jerry Green practices at 15 S Grady Way Ste 310, Renton, WA 98057. The listed phone number is (425) 652-1886.

What is Jerry Green's specialty?

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

What insurance does Jerry Green accept?

Health plans from BlueCross BlueShield of Tennessee list Jerry Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Green was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.