Individual provider Active NPI

Anita J Green, LPC

  • Mental Health Counselor
  • Decorah, IA
National Provider Identifier
1255118485
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
121744 Issued in IA
Practice address
905 Montgomery St
Decorah, IA 52101-2325
Phone
(563) 382-3649
NPI assigned
Sep 12, 2023
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 121744 IA Primary
Professional Counselor 101YP2500X 2026001291 MO
Professional Counselor 101YP2500X 88187 TX

Addresses

Primary practice location

905 Montgomery St
Decorah, IA 52101-2325

Mailing address

905 Montgomery St
Decorah, IA 52101-2325
Phone (563) 382-3649

Other practice location 1

433 Kitty Hawk Rd Ste 219
Universal City, TX 78148-3829
Phone (210) 566-1280

Other names 1

  • Anita Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX2 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
I20240321003369 IA Practitioner - Mental Health Counselor 7113364480 Reassigns benefits to 1 organization
I20240423001939 TX Practitioner - Mental Health Counselor 7113364480 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians
Alba Wellness IncorporatedGroup PAC ID 5092070789, 6 clinicians

Practice addresses (Care Compare)

1400 N Coit Rd
Talkiatry Suite 302
McKinney, TX 75071-6656
Phone (917) 634-5311

433 Kitty Hawk Rd
Suite 219
Universal City, TX 78148-3829
Phone (210) 566-1280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121744IAMDMental Health Counselor
2026001291MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA Single Specialty CurrentSince Jan 27, 2025 Accepting new patients
Northeast Iowa Mental Health Center Single Specialty CurrentSince Feb 12, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Alba Wellness Incorporated Professional CurrentSince Apr 15, 2024 Accepting new patients
Alba Wellness Case Management LLC PastSince Apr 15, 2024 Accepting new patients
United Community Services, Inc. Single Specialty PastSince Sep 17, 2023 Accepting new patients

Locations

905 Montgomery St
Decorah, IA 52101
Phone (563) 382-3649

36 S Frederick Ave
Oelwein, IA 50662
Phone (319) 283-5774

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 945-3640

433 Kitty Hawk Rd
Ste 219
Universal Cty, TX 78148
Phone (210) 566-1280

Organizations & group practices 7

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1255118485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-3649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Kitty Hawk Rd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Universal City",
            "state": "TX",
            "postal_code": "781483829",
            "country_code": "US",
            "telephone_number": "210-566-1280",
            "fax_number": "210-579-8533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANITA",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "121744",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2026001291",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "JONES",
            "credential": "WINSTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decorah, IA

Sources for this page

Verify at the official NPI Registry.