Individual provider Active NPI

Rolanda M Green, LPC

  • Mental Health Counselor
  • Spring, TX
National Provider Identifier
1184864571
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18377 Issued in TX
Practice address
16802 Sedona Springs LN
Spring, TX 77379-1939
Phone
(281) 451-7814
Fax
(832) 698-2315
NPI assigned
Feb 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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 18377 TX Primary

Addresses

Primary practice location

16802 Sedona Springs LN
Spring, TX 77379-1939

Mailing address

PO Box 11568
Spring, TX 77391-1568
Phone (281) 451-7814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240513000107 TX Practitioner - Mental Health Counselor 6204277957 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18377TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Caring for Lives Inc. Current Accepting new patients
Caring for Lives Inc. Mental Health CurrentSince Mar 30, 2024 Accepting new patients

Locations

6046 FM 2920 Rd
Spring, TX 77379
Phone (281) 451-7814

2001 Timberloch Pl
Ste 500
The Woodlands, TX 77380
Phone (832) 296-7967

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1184864571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11568",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773911568",
            "telephone_number": "281-451-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16802 SEDONA SPRINGS LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773791939",
            "telephone_number": "281-451-7814",
            "fax_number": "832-698-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ROLANDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.