Ingrid C Green, LAC
Counselor in Sparta, New Jersey
1316571904- Practice location
- 25 Main St, Sparta, NJ 07871-1937
- Phone
- 973-865-4545
- Fax
- —
- Last updated
- February 24, 2020
Ingrid C Green is a Counselor based in Sparta, NJ. Ingrid C Green practices in Sparta, NJ and has the professional credentials of LAC. The NPI Number for Ingrid C Green is 1316571904 and holds a License No. 37AC00455500 (NJ). The current practice location address for Ingrid C Green is 25 Main St, Sparta, NJ 07871-1937 and can be reached out via phone at 973-865-4545.
Provider Profile Details
- NPI Number
- 1316571904
- Provider Name
- Ingrid C Green
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 Main St, Sparta, NJ 07871-1937
- Phone Number
- 973-865-4545
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- Yes
- Other Names
- Ingrid C Gothmann (Former Name)
- Provider Enumeration Date
- February 24, 2020
- Last Update Date
- February 24, 2020
- Certification Date
- February 24, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Main St
Sparta, NJ 07871-1937 - City
- Sparta
- State
- New Jersey
- Zip
- 07871-1937
- Phone Number
- 973-865-4545
Provider Business Mailing Address Details
- Address
- 310 Parkway Dr
Clark, NJ 07066-1626 - City
- Clark
- State
- NJ
- Zip
- 07066-1626
- Phone Number
- 738-654-5459
License Information
- License Number
- 37AC00455500
- License State
- NJ
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Sparta, NJ
View all Counselors in Sparta →- Marissa RamdassCounselor · NPI 1669177564
- Center For Evaluation And Counseling, INC.Community/Behavioral Health · NPI 1265554588
- Nicole BejianNurse Practitioner, Family · NPI 1447749262
- Dr. David Basch, MDSpecialist · NPI 1053322354
- Alyssa AbreuSpeech-Language Pathologist, · NPI 1093636268
- Soraya St. Louis-AugustinNurse Practitioner · NPI 1720664329
Frequently Asked Questions
What is the NPI number of Ingrid C Green, LAC?
The NPI number of Ingrid C Green, LAC is 1316571904. It was assigned on February 24, 2020 and is currently active in the NPPES registry.
What is the specialty of Ingrid C Green, LAC?
Ingrid C Green, LAC is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in NJ under license number 37AC00455500.
Where does Ingrid C Green, LAC practice?
The practice location is 25 Main St, Sparta, NJ 07871-1937. The office can be reached at 973-865-4545 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316571904 directly on the NPPES registry website.