Individual provider · Type 1 NPI

Alexis Green

Peer Specialist · Redwood City, CA

NPI number 1679458921 Active

Practice location

200 Edmonds Rd
Redwood City, CA 94062

Call (650) 930-7491 Map

Mailing address

34077 Paseo Padre Pkwy Apt 148
Fremont, CA 94555-2375

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-SEOKLB (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1679458921

Alexis Green's National Provider Identifier is 1679458921, issued on Aug 6, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Redwood City, CA. The record was last updated on Oct 30, 2025.