Individual provider Active NPI

Allison Green, MSW, LCSWA

  • Mental Health Counselor
  • Mooresville, NC
National Provider Identifier
1083222632
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
121 Rolling Hill Rd Ste 225
Mooresville, NC 28117-8861
Phone
(704) 534-5997
Fax
(704) 230-1397
NPI assigned
Jul 20, 2020
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NC

Addresses

Primary practice location

121 Rolling Hill Rd Ste 225
Mooresville, NC 28117-8861

Mailing address

121 Rolling Hill Rd Ste 225
Mooresville, NC 28117-8861
Phone (704) 534-5997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stafford & Associates Counseling, PLLC Clinical CurrentSince Feb 4, 2024 Accepting new patients
Thrive Counseling and Wellness, PLLC Mental Health PastSince Aug 1, 2020 Accepting new patients

Locations

121 Rolling Hill Rd
Ste 225
Mooresville, NC 28117
Phone (704) 534-5997

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1083222632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ROLLING HILL RD STE 225",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178861",
            "telephone_number": "704-534-5997",
            "fax_number": "704-230-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ROLLING HILL RD STE 225",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178861",
            "telephone_number": "704-534-5997",
            "fax_number": "704-230-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.