IndividualActive
Jefferson Green
NPI 1508709122 · Counselor · Wilmington, NC
Jefferson Green is a Counselor provider in Wilmington, NC (NPI 1508709122).
Provider details
- NPI number
- 1508709122
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- P023659 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3205 Randall Pkwy Ste 217
Wilmington, NC 28403-2569
Phone: (910) 877-1598
Approximate (ZIP-level) locationGet directions
Mailing address
5306 Autumn Dr
Wilmington, NC 28409-5702
Registry dates
- Enumerated
- 2026-04-09
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Frequently asked questions
- What is Jefferson Green's NPI number?
- Jefferson Green's National Provider Identifier (NPI) is 1508709122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jefferson Green's specialty?
- Jefferson Green is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jefferson Green located?
- Jefferson Green's practice location on file with NPPES is 3205 Randall Pkwy Ste 217, Wilmington, NC 28403-2569.
- What is Jefferson Green's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Green is (910) 877-1598.
- Is Jefferson Green's NPI active?
- Yes — Jefferson Green's NPI (1508709122) is active in the NPPES registry as of the last update on 2026-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.