Individual provider Active NPI

Paula Danette Green, MS, LCPC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1225084304
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0021417 Issued in CO
Practice address
127 Mesa Verde St Ste a
Santa Fe, NM 87501-1729
Phone
(208) 283-6365
NPI assigned
May 26, 2006
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC-4139 ID
Professional Counselor 101YP2500X LPC0021417 CO Primary

Addresses

Primary practice location

127 Mesa Verde St Ste a
Santa Fe, NM 87501-1729

Mailing address

127 Mesa Verde St Ste a
Santa Fe, NM 87501-1729
Phone (208) 283-6365

Other practice location 1

250 Fillmore St Unit 150
Denver, CO 80206-5001
Phone (415) 424-4266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240314002012 ID Practitioner - Mental Health Counselor 0840636668
I20250210001980 CO Practitioner - Mental Health Counselor 0840636668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Denver, CO 80202
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LCPC-4139IDMDMental Health Counselor
LPC0021417COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jan 1, 2024 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jan 1, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jan 29, 2025 Accepting new patients

Locations

1560 Broadway
Denver, CO 80202
Phone (623) 363-6103

1560 Broadway
Ste 1600
Denver, CO 80202
Phone (303) 301-9929

1075 E Park Blvd
Boise, ID 83712
Phone (208) 381-5970

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2235

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1225084304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MESA VERDE ST STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011729",
            "telephone_number": "208-283-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MESA VERDE ST STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011729",
            "telephone_number": "208-283-6365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Fillmore St Unit 150",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802065001",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PAULA",
        "middle_name": "DANETTE",
        "name_prefix": "Ms.",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-4139",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0021417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.