1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Counselor
  6. NPI Profile

JENNIFER GREEN
NPI 1619482361
Counselor - Mental Health in Jackson, MS

Active since December 04, 2017
4780 I 55 N STE 105, JACKSON, MS 39211(601) 956-4816(601) 956-4817 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 8, 2021, Dec 4, 2017 (2 updates tracked since 2017).

About Jennifer Green NPPES

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

JENNIFER GREEN (NPI 1619482361) is an individual mental health provider in Jackson, Mississippi, licensed in Mississippi (801662017) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1619482361
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER GREEN
Location Address4780 I 55 N STE 105Jackson, MS 39211-5542
Mailing Address2504 Browning Road 520Greenwood, MS 38930-6022
Phone(601) 956-4816
Fax(601) 956-4817
Sole ProprietorNo
Enumeration DateDecember 4, 2017
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1619482361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MS · 801662017
4780 I 55 N STE 105, Jackson, MS 39211
Open in Google Maps ↗

Other Identifiers 1

Medicaid01670076MS

Other Providers at the Same Location NPPES 20

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

DONNA MURRY
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
GERTRICA HARRIS
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
ELVIA HERNANDEZ
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
SHOMEKA DAY
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
STEPHANIE COLLUM
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
SYLVIA DAVIS
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
RODNEY REED
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
ALTHEA ROBINSON-SWINT
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816

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 1619482361. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Where is Jennifer Green located?

Jennifer Green practices at 4780 I 55 N Ste 105, Jackson, MS 39211. The listed phone number is (601) 956-4816.

What is Jennifer Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jennifer Green was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.