DEWAYNE C GREEN
NPI 1801395496
Counselor - Addiction (Substance Use Disorder) in Elyria, OH

Q: What is Dewayne Green's NPI number?

The NPI number for Dewayne Green is 1801395496. It was assigned to this individual provider in the NPPES registry on February 8, 2018.

Q: What is Dewayne Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Dewayne Green was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 08, 2018PECOS Enrolled

41641 N RIDGE RD STE B, ELYRIA, OH 44035(440) 324-7406 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2025, May 13, 2025 (2 updates tracked since 2025).

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About Dewayne C Green NPPES

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

DEWAYNE C GREEN (NPI 1801395496) is an individual addiction (substance use disorder) provider in Elyria, Ohio, licensed in Ohio (141205) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Warren, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1801395496

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameDEWAYNE C GREEN

Location Address41641 N RIDGE RD STE BElyria, OH 44035-1264

Mailing Address19333 Van Aken BlvdShaker Hts, OH 44122-3579 · (216) 513-7223

Phone(440) 324-7406

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateFebruary 8, 2018

Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1801395496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · 141205

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

41641 N RIDGE RD STE B, Elyria, OH 44035

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Secondary Practice Location 1

Location 12737 Youngstown Rd SEWarren, OH 44484-5002 · Phone (330) 369-8022 ext. 153 · Fax (330) 369-8022

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dewayne C Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779071683

PECOS Enrollment IDI20251022004339

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

ANDREW MICHAEL MENDEZ LCDC3

Counselor (Addiction (Substance Use Disorder))