Individual provider Active NPI

Chelsea Alexis Green, LPC

  • Mental Health Counselor
  • Tucker, GA
National Provider Identifier
1073122073
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC013357 Issued in GA
Practice address
3552 Habersham at Northlake BLDG G
Tucker, GA 30084-4009
Phone
(678) 600-6873
NPI assigned
Jul 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC013357 GA Primary

Addresses

Primary practice location

3552 Habersham at Northlake BLDG G
Tucker, GA 30084-4009

Mailing address

3552 Habersham at Northlake BLDG G
Tucker, GA 30084-4009
Phone (678) 600-6873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC013357GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Star of Georgia Counseling Mental Health CurrentSince Feb 7, 2021 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Sep 16, 2024 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Sep 16, 2024 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

341 Ponce de Leon Ave NE
Atlanta, GA 30308
Phone (404) 616-2440

3552 Habersham At Northlake
Bldg G
Tucker, GA 30084
Phone (678) 600-6873

3552 Habersham At Northlake
Tucker, GA 30084
Phone (404) 862-4332

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1073122073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 HABERSHAM AT NORTHLAKE BLDG G",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844009",
            "telephone_number": "678-600-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3552 HABERSHAM AT NORTHLAKE BLDG G",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844009",
            "telephone_number": "678-600-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CHELSEA",
        "middle_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-26",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC013357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.