Individual provider Active NPI

Felicia Green

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1104442151
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.0601055 Issued in OH
Practice address
1510 Willow Lawn Dr Ste 100
Richmond, VA 23230-3429
Phone
(804) 921-3844
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.0601055 OH Primary

Addresses

Primary practice location

1510 Willow Lawn Dr Ste 100
Richmond, VA 23230-3429

Mailing address

7092 Strath Rd
Henrico, VA 23231-7103
Phone (216) 849-2969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429000807 VA Practitioner - Mental Health Counselor 1557887999 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C.0601055OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Felicia Green Consulting, LLC CurrentSince Mar 15, 2025 Accepting new patients

Locations

4905 Dickens Rd
Ste 202
Richmond, VA 23230
Phone (804) 288-0122

Organizations & group practices 1

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1104442151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7092 STRATH RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232317103",
            "telephone_number": "216-849-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 WILLOW LAWN DR STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303429",
            "telephone_number": "804-921-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "FELICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0601055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.