Individual provider Active NPI

Lauren Green, LPC

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1124464821
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC006930 Issued in PA
Practice address
2200 Michener St Ste 20
Philadelphia, PA 19115-4374
Phone
(215) 331-3200
Fax
(215) 331-3977
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 PC006930 PA Primary

Addresses

Primary practice location

2200 Michener St Ste 20
Philadelphia, PA 19115-4374

Mailing address

2200 Michener St Ste 20
Philadelphia, PA 19115-4374
Phone (215) 331-3200

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care Connection Mental Health CurrentSince Mar 1, 2024 Accepting new patients

Locations

2200 Michener St
Ste 20
Philadelphia, PA 19115

8001 Roosevelt Blvd
Ste 301
Philadelphia, PA 19152
Phone (215) 332-3100

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1124464821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MICHENER ST STE 20",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154374",
            "telephone_number": "215-331-3200",
            "fax_number": "215-331-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MICHENER ST STE 20",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154374",
            "telephone_number": "215-331-3200",
            "fax_number": "215-331-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LAUREN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.