Colleen Greene, LCMHC, CAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 10435 Issued in FL

Practice address

518 SW Prima Vista Blvd
Port St Lucie, FL 34983-8734

Phone

(561) 818-2267

NPI assigned

Oct 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Collen Barker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1275720237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 VILLAGE BLVD 150",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091961",
            "telephone_number": "561-331-8800",
            "fax_number": "561-331-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 SW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838734",
            "telephone_number": "561-818-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "LCMHC, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10435",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "4863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEN",
            "last_name": "BARKER",
            "credential": "LCMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Taniesha Green
• Sydney Rose Greenberg
• Lindsey N Greene, DOT
• Kathleen Anne Gribbon, ARNP
• Jasmine Griffin
• Norris Griffin Jr.
• Pettina R Griffin, RBT

• All providers in Port St Lucie, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.