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DR. JERRY WAYNE GREEN LPC
NPI 1992361497
Counselor - Professional in Grand Prairie, TX

Active since May 10, 2019
2463 WATERSIDE DR, GRAND PRAIRIE, TX 75054(817) 673-2183 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry Wayne Green Lpc NPPES

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

DR. JERRY WAYNE GREEN LPC (NPI 1992361497) is an individual professional provider in Grand Prairie, Texas, licensed in Texas (14932) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1992361497
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. JERRY WAYNE GREENCredential: LPC
Location Address2463 WATERSIDE DRGrand Prairie, TX 75054-6806
Mailing Address2463 Waterside DrGrand Prairie, TX 75054-6806 · (817) 673-2183
Phone(817) 673-2183
Sole ProprietorYes
Enumeration DateMay 10, 2019
✔ NPI 1992361497 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 TX · 14932
2463 WATERSIDE DR, Grand Prairie, TX 75054
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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 Jerry Green's NPI number?

The NPI number for Jerry Green is 1992361497. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Jerry Green located?

Jerry Green practices at 2463 Waterside Dr, Grand Prairie, TX 75054. The listed phone number is (817) 673-2183.

What is Jerry 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 Jerry Green was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.