MAURISSA GREEN MED, BA, PEL
NPI 1376214577
Counselor - School in Homewood, IL

NPI Status: Active since September 27, 2021

Contact Information

900 RIDGE RD STE 1S
HOMEWOOD, IL
ZIP 60430
Phone: (708) 637-1672

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  • Individual
  • Female
  • Counselor
  • School

About MAURISSA GREEN

This page provides the complete NPI Profile along with additional information for Maurissa Green, a provider established in Homewood, Illinois with a medical specialization in Counselor, focusing in school . The healthcare provider is registered in the NPI registry with number 1376214577 assigned on September 2021. The practitioner's primary taxonomy code is 101YS0200X with license number 2422001 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1376214577
Provider Name
MAURISSA GREEN MED, BA, PEL
Gender
Female
Entity Type
Individual
Location Address
900 RIDGE RD STE 1S HOMEWOOD, IL 60430
Location Phone
(708) 637-1672
Mailing Address
11 OAK LN PARK FOREST, IL 60466
Mailing Phone
(312) 918-4610
Is Sole Proprietor?
Yes
Enumeration Date
09-27-2021
Last Update Date
09-27-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor School

Taxonomy Code
101YS0200X
Type
Behavioral Health & Social Service Providers
License No.
2422001
License State
IL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376214577
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146418514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 4 + 1 + 8 + 5 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1376214577 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407482169DR. CARLY NICOLE JONES ED.D
Individual
Counselor900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(312) 320-7733
1952939050 DIANA WASHINGTON-HUGHEY LCPC
Individual
Counselor (Professional)900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(708) 637-1672
1275145716MWC FOUNDATION INC.
Organization
Social Worker (Clinical)900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(708) 637-1672
1841886736 ROSHAUN BOWENS
Individual
Counselor (Professional)900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(708) 637-1672
1346999596 YOLANDA ANSARI
Individual
Social Worker900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(708) 637-1672
1336860881 AUTUMN R CANO
Individual
Counselor (Mental Health)900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(708) 637-1672
1578276614MS. TISHINA DAVIS LSW
Individual
Social Worker900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(708) 637-1672
1104516806 RAVEN BURNS
Individual
Social Worker (Clinical)900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(708) 637-1672
1235829581 TREMAYNE CURRY
Individual
Social Worker (Clinical)900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(708) 637-1672
1962189878 TAMEKA S PATTERSON LSW
Individual
Social Worker900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(224) 622-5036
1881475416 MILLICENT DENISE GRIFFIN
Individual
Counselor (School)900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(708) 637-1672
1598584880 NARESTUS S COLEY
Individual
Counselor900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(708) 637-1672
1518662600 ALPHIA MILLER
Individual
Social Worker (Clinical)900 RIDGE RD STE 1S
HOMEWOOD, IL 60430
(708) 637-1672

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376214577, enumerated in the NPI registry as an "individual" on September 27, 2021

The provider is located at 900 Ridge Rd Ste 1s Homewood, Il 60430 and the phone number is (708) 637-1672

The provider's speciality is Counselor with taxonomy code 101YS0200X with a focus in School

This NPI record was last updated on September 27, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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