Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry Wayne Green, LPC

Individual provider Professional Counselor · NPI 1992361497

Dr. Jerry Wayne Green, LPC is a Professional Counselor in Grand Prairie, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2019
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2463 Waterside Dr
Grand Prairie, TX 75054-6806
Phone: (817) 673-2183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 14932 (TX)

Record details

NPI number1992361497
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 10, 2019
Last updated in NPPESMay 10, 2019

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