Individual provider Active NPI

Tara Lee Greene, LMHC, LMFT

  • Marriage & Family Therapist
  • Winter Park, FL
National Provider Identifier
1205394236
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2610 Issued in FL
Practice address
2180 N Park Ave Ste 328
Winter Park, FL 32789-2358
Phone
(407) 719-2758
Fax
(407) 629-6447
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2610 FL Primary

Addresses

Primary practice location

2180 N Park Ave Ste 328
Winter Park, FL 32789-2358

Mailing address

2180 N Park Ave Ste 328
Winter Park, FL 32789-2358
Phone (407) 719-2758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 23, 2024 through May 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT2610FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreene Counseling & Consulting, LLC CurrentSince Dec 28, 2025 Accepting new patients

Locations

2180 N Park Ave
Ste 328
Winter Park, FL 32789
Phone (407) 628-1510

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": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1205394236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 N PARK AVE STE 328",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892358",
            "telephone_number": "407-719-2758",
            "fax_number": "407-629-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 N PARK AVE STE 328",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892358",
            "telephone_number": "407-719-2758",
            "fax_number": "407-629-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "TARA",
        "middle_name": "LEE",
        "credential": "LMHC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.