Michele Denise Green, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008640 Issued in GA

Practice address

903 Pavilion CT Ste D
McDonough, GA 30253-6672

Phone

(404) 913-9114

Fax

(404) 529-4729

NPI assigned

Apr 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inpatient Consultants of Georgia, Inc

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1659403970
  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  GA

  Medicare reassignment NPD
• Gathering Precious Stones, LLC

  • Health Maintenance Organization
  • McDonough, GA
  • NPI 1811264088
  NPD Authorized official
• JC Wellness Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • McDonough, GA
  • NPI 1750135745
  NPD

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1235429093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PAVILION CT STE D",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536672",
            "telephone_number": "404-913-9114",
            "fax_number": "404-529-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 PAVILION CT STE D",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536672",
            "telephone_number": "404-913-9114",
            "fax_number": "404-529-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MICHELE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater McDonough Chiropractic
• Greater Minds of America
• Antonio Green
• Felecia Green
• Latavia Green
• Milton Green Jr.
• Rayna Green, DPT
• Shuvory Chyann Green, FNP-C
• Tamara C Green
• Greenbriar Medical Supply Inc

• Professional Counselor in McDonough, GA
• Providers in McDonough, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.