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ELIJAH JOSHUA GREEN
NPI 1912791427
Counselor - Professional in Webster Groves, MO

Active since April 08, 2025
330 N GORE AVE, WEBSTER GROVES, MO 63119(844) 424-3577 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Elijah Joshua Green NPPES

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

ELIJAH JOSHUA GREEN (NPI 1912791427) is an individual professional provider in Webster Groves, Missouri, licensed in Missouri (2025007543) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1912791427
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameELIJAH JOSHUA GREEN
Location Address330 N GORE AVEWebster Groves, MO 63119-1600
Mailing Address1182 Glenmeade Dr Apt DMaryland Heights, MO 63043-4417 · (314) 922-0510
Phone(844) 424-3577
Sole ProprietorYes
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1912791427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2025007543
330 N GORE AVE, Webster Groves, MO 63119
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

TAMMY L BUNGER COTA
Occupational Therapy Assistant
330 N GORE AVE
WEBSTER GROVES, MO 63119
St. Louis County (314) 968-2060
CHRISTINA KLASING RN
Registered Nurse
330 N GORE AVE
WEBSTER GROVES, MO 63119
St. Louis County (314) 919-4759
AI LING MOORE MSW, LCSW
Social Worker (Clinical)
330 N GORE AVE
WEBSTER GROVES, MO 63119
St. Louis County (314) 978-2060
SLPH, LLC
Community/Behavioral Health
330 N GORE AVE
WEBSTER GROVES, MO 63119
St. Louis County (913) 322-4900
MR. ROBERT JOSEPH PACANOWSKI II MA
Counselor (Professional)
330 N GORE AVE
SAINT LOUIS, MO 63119
St. Louis County (314) 968-2060
MRS. TAMESHA BLAND BCBA, LBA
Behavior Analyst
330 N GORE AVE
SAINT LOUIS, MO 63119
St. Louis County (314) 356-0538
MR. EDMUND B BOZESKY ACSW-LCSW
Social Worker (Clinical)
330 N GORE AVE
SAINT LOUIS, MO 63119
St. Louis County (314) 919-4700
MELISSA BRANSON
Occupational Therapist
330 N GORE AVE
SAINT LOUIS, MO 63119
St. Louis County (314) 919-4647

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 Elijah Green's NPI number?

The NPI number for Elijah Green is 1912791427. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Elijah Green located?

Elijah Green practices at 330 N Gore Ave, Webster Groves, MO 63119. The listed phone number is (844) 424-3577.

What is Elijah Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Elijah Green was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.