Individual provider Active NPI

Luke Greene, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Centralia, WA
National Provider Identifier
1134423056
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP-AP-60667468-NP Issued in WA
Practice address
1787 NE Kresky Ave
Chehalis, WA 98532-2302
Phone
(360) 506-9212
Fax
(360) 736-3139
NPI assigned
Jan 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60667467.MSL WA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 716210 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 22194 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP-AP-60667468-NP WA Primary

Addresses

Primary practice location

1787 NE Kresky Ave
Chehalis, WA 98532-2302

Mailing address

1787 NE Kresky Ave
Chehalis, WA 98532-2302
Phone (360) 506-9212

Other practice location 1

9123 SE Saint Helens St Ste 273B
Clackamas, OR 97015-6801
Phone (360) 506-9212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161206001098 WA Practitioner - Nurse Practitioner 1355586033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

409 S Market Blvd
Suite 11
Chehalis, WA 98532-3043
Phone (360) 506-9212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
716210CAMDAdult Psychiatric/Mental Health Registered Nurse
22194CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Community Healthcare CurrentSince Nov 16, 2016 Accepting new patients
Cascade Community Healthcare CurrentSince Nov 16, 2016 Accepting new patients
Private Network Consulting Psychiatric/Mental Health CurrentSince May 15, 2023 Accepting new patients

Locations

2428 W Reynolds Ave
Centralia, WA 98531

409 S Market Blvd
Ste 11
Chehalis, WA 98532

409 S Market Blvd
Chehalis, WA 98532
Phone (360) 704-7900

409 S Market Blvd
#11
Chehalis, WA 98532
Phone (360) 491-9733

Interoperability endpoints

  • Direct secure messaging: luke.greene@980791108567044.direct.elationemr.com
  • Direct secure messaging: luke.greene.1@27401.direct.athenahealth.com

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": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1134423056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 NE KRESKY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322302",
            "telephone_number": "360-506-9212",
            "fax_number": "833-471-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 NE KRESKY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322302",
            "telephone_number": "360-506-9212",
            "fax_number": "360-736-3139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9123 SE Saint Helens St Ste 273B",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970156801",
            "country_code": "US",
            "telephone_number": "360-506-9212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "LUKE",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-06",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60667467.MSL",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "716210",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "22194",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "ARNP-AP-60667468-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.