Active NPI
Angel Green
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1255176376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC70016047
- Practice address
- 12345 Lake City Way NE # 2208
Seattle, WA 98125-5401 - Phone
- (754) 265-9699
- NPI assigned
- Jun 29, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC70016047 | WA | Primary |
Addresses
Primary practice location
12345 Lake City Way NE # 2208
Seattle, WA 98125-5401
Mailing address
12345 Lake City Way NE # 2208
Seattle, WA 98125-5401
Phone (754) 265-9699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC70016047 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1255176376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12345 LAKE CITY WAY NE # 2208",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981255401",
"telephone_number": "754-265-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12345 LAKE CITY WAY NE # 2208",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981255401",
"telephone_number": "754-265-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ANGEL",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-06-29",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC70016047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.