GRADIE GREEN
NPI 1992184410
Counselor in Lawton, OK

Q: What is Gradie Green's NPI number?

The NPI number for Gradie Green is 1992184410. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Q: What is Gradie Green's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Gradie Green was last updated on May 29, 2015. 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 May 29, 2015

6701 SW BAYWOOD DR, LAWTON, OK 73505(580) 704-5521(580) 585-4619 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Gradie Green NPPES

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

GRADIE GREEN (NPI 1992184410) is an individual counselor in Lawton, Oklahoma and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1992184410

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameGRADIE GREEN

Location Address6701 SW BAYWOOD DRLawton, OK 73505-9026

Mailing Address6701 Sw Baywood DrLawton, OK 73505-9026 · (580) 704-5521 · Fax (580) 585-4619

Phone(580) 704-5521

Fax(580) 585-4619

Sole ProprietorYes

Enumeration DateMay 29, 2015

✔ NPI 1992184410 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.

6701 SW BAYWOOD DR, Lawton, OK 73505

Open in Google Maps ↗

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 Gradie Green's NPI number?

The NPI number for Gradie Green is 1992184410. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Gradie Green located?

Gradie Green practices at 6701 SW Baywood Dr, Lawton, OK 73505. The listed phone number is (580) 704-5521.

What is Gradie 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 Gradie Green was last updated on May 29, 2015. 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.