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IVAN JEROME GREEN
NPI 1548046568
Counselor in Las Vegas, NV

Active since September 05, 2023
3762 TUNDRA SWAN ST, LAS VEGAS, NV 89122(323) 212-0072 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivan Jerome Green NPPES

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

IVAN JEROME GREEN (NPI 1548046568) is an individual counselor in Las Vegas, Nevada and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1548046568
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameIVAN JEROME GREEN
Location Address3762 TUNDRA SWAN STLas Vegas, NV 89122-3536
Mailing Address3762 Tundra Swan StLas Vegas, NV 89122-3536 · (323) 212-0072
Phone(323) 212-0072
Sole ProprietorYes
Enumeration DateSeptember 5, 2023
NPPES CertifiedSeptember 5, 2023
✔ NPI 1548046568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
3762 TUNDRA SWAN ST, Las Vegas, NV 89122
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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 Ivan Green's NPI number?

The NPI number for Ivan Green is 1548046568. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Where is Ivan Green located?

Ivan Green practices at 3762 Tundra Swan St, Las Vegas, NV 89122. The listed phone number is (323) 212-0072.

What is Ivan 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 Ivan Green was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.