JENNIFER RUTH GREEN
NPI 1679987507
Community/Behavioral Health in Medford, OR

Q: What is Jennifer Green's NPI number?

The NPI number for Jennifer Green is 1679987507. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Q: What is Jennifer Green's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Green was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 18, 2014

140 SOUTH HOLLY STREET, MEDFORD, OR 97501(541) 774-8200(541) 774-7964 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Ruth Green NPPES

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

JENNIFER RUTH GREEN (NPI 1679987507) is an individual community/behavioral health provider in Medford, Oregon and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1679987507

Entity TypeIndividualFemale

Primary Taxonomy251S00000X

Provider Legal NameJENNIFER RUTH GREEN

Location Address140 SOUTH HOLLY STREETMedford, OR 97501

Mailing Address140 South Holly StreetMedford, OR 97501 · (541) 774-8200 · Fax (541) 774-7964

Phone(541) 774-8200

Fax(541) 774-7964

Sole ProprietorYes

Enumeration DateJune 18, 2014

Last NPPES UpdateDecember 29, 2014

✔ NPI 1679987507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

140 SOUTH HOLLY STREET, Medford, OR 97501

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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.

PAULA M WEBB

Case Manager/Care Coordinator