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RODERICK GREEN
NPI 1699179713
Counselor in El Dorado, AR

Active since October 17, 2014
412 N WASHINGTON AVE, EL DORADO, AR 71730(870) 863-4611(870) 863-4962 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roderick Green NPPES

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

RODERICK GREEN (NPI 1699179713) is an individual counselor in El Dorado, Arkansas and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1699179713
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameRODERICK GREEN
Location Address412 N WASHINGTON AVEEl Dorado, AR 71730-5616
Mailing Address602 N Walton BlvdBentonville, AR 72712-4576 · (479) 464-1060 · Fax (479) 271-6307
Phone(870) 863-4611
Fax(870) 863-4962
Sole ProprietorNo
Enumeration DateOctober 17, 2014
✔ NPI 1699179713 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.
412 N WASHINGTON AVE, El Dorado, AR 71730
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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.

MRS. PATRICIA S BURKS AT
Counselor
412 N WASHINGTON AVE
EL DORADO, AR 71730
Union County (870) 863-4611
T'REVAH COBB
Counselor
412 N WASHINGTON AVE
EL DORADO, AR 71730
Union County (870) 863-4611
DAYSPRING SERVICES OF ARKANSAS LLC
Community/Behavioral Health
412 N WASHINGTON AVE
EL DORADO, AR 71730
Union County (870) 863-4611
MISS JUDITH ANNE JAMERSON MHPP
Counselor (Mental Health)
412 N WASHINGTON AVE
EL DORADO, AR 71730
Union County (870) 863-4611
TIFFANY HAMILTON
Counselor
412 N WASHINGTON AVE
EL DORADO, AR 71730
Union County (870) 863-4611
MS. FAITH L HANNAH LMSW
Social Worker
412 N WASHINGTON AVE
EL DORADO, AR 71730
Union County (870) 863-4611
MRS. ABBY M CATE LPC
Counselor
412 N WASHINGTON AVE
EL DORADO, AR 71730
Union County (870) 863-4611
DARWIN MOORE
Counselor
412 N WASHINGTON AVE
EL DORADO, AR 71730
Union County (870) 863-4611

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 Roderick Green's NPI number?

The NPI number for Roderick Green is 1699179713. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Where is Roderick Green located?

Roderick Green practices at 412 N Washington Ave, El Dorado, AR 71730. The listed phone number is (870) 863-4611.

What is Roderick 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 Roderick Green was last updated on October 17, 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.