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

Jonathan Green, LPC

Individual provider Counselor · NPI 1164930756

Jonathan Green, LPC is a Counselor in Camillus, New York. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

207 Ivanhoe Ave
Camillus, NY 13031-2427
Phone: (585) 364-4585
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1164930756
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJanuary 17, 2018
Last updated in NPPESApril 19, 2025
Certification dateApril 19, 2025
Mailing address207 Ivanhoe Ave, Camillus, NY 13031-2427