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JEFFERSON ROBERT GREEN
NPI 1508709122
Counselor in Wilmington, NC

Active since April 09, 2026
3205 RANDALL PKWY STE 217, WILMINGTON, NC 28403(910) 877-1598 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Robert Green NPPES

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

JEFFERSON ROBERT GREEN (NPI 1508709122) is an individual counselor in Wilmington, North Carolina, licensed in North Carolina (P023659) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1508709122
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJEFFERSON ROBERT GREEN
Location Address3205 RANDALL PKWY STE 217Wilmington, NC 28403-2569
Mailing Address5306 Autumn DrWilmington, NC 28409-5702 · (336) 880-5985
Phone(910) 877-1598
Sole ProprietorYes
Enumeration DateApril 9, 2026
NPPES CertifiedApril 9, 2026
✔ NPI 1508709122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NC · P023659
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3205 RANDALL PKWY STE 217, Wilmington, NC 28403
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Other Providers at the Same Location NPPES 2

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

MARISSA DEE AKERS M.A, LCMHC-A
Counselor (Mental Health)
3205 RANDALL PKWY STE 217
WILMINGTON, NC 28403
New Hanover County (910) 877-1598
MELINDA JEAN BAUM MSW, LCSWA
Social Worker (Clinical)
3205 RANDALL PKWY STE 217
WILMINGTON, NC 28403
New Hanover County (910) 877-1598

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 Jefferson Green's NPI number?

The NPI number for Jefferson Green is 1508709122. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Where is Jefferson Green located?

Jefferson Green practices at 3205 Randall Pkwy Ste 217, Wilmington, NC 28403. The listed phone number is (910) 877-1598.

What is Jefferson Green's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jefferson Green was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.