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

Jennifer Green

Individual provider Mental Health Counselor · NPI 1619482361

Jennifer Green is a Mental Health Counselor in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2017.

Licensed in
MS
In the registry since
2017

Practice location Address checks out

4780 I 55 N Ste 105
Jackson, MS 39211-5542
Phone: (601) 956-4816
Fax: (601) 956-4817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 801662017 (MS)

Record details

NPI number1619482361
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2017
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021

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