Individual provider Active NPI

Melinda Ann Green, PHD, MS

  • Counseling Psychologist
  • Solon, IA
National Provider Identifier
1306348289
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
01011 Issued in IA
Practice address
2025 Mehaffey Bridge Rd NE
Solon, IA 52333-9218
Phone
(515) 450-8913
NPI assigned
Mar 6, 2018
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 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 089407 IA
Counseling Psychologist 103TC1900X 01011 IA Primary

Addresses

Primary practice location

2025 Mehaffey Bridge Rd NE
Solon, IA 52333-9218

Mailing address

2025 Mehaffey Bridge Rd NE
Solon, IA 52333-9218
Phone (515) 450-8913

Other practice location 1

2240 9th St
Coralville, IA 52241-1575
Phone (515) 450-8913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20260310004427 IA Practitioner - Clinical Psychologist 1052894870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Counseling Services PLLCGroup PAC ID 9234612052, 17 clinicians

Practice addresses (Care Compare)

2240 9TH St
Coralville, IA 52241-1507

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
089407IAMDMental Health Counselor
01011IAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Counseling Services PLLC Mental Health CurrentSince Jan 28, 2026 Accepting new patients

Locations

2240 9th St
Ste 4
Coralville, IA 52241

Organizations & group practices 1

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1306348289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 MEHAFFEY BRIDGE RD NE",
            "city": "SOLON",
            "state": "IA",
            "postal_code": "523339218",
            "telephone_number": "515-450-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 MEHAFFEY BRIDGE RD NE",
            "city": "SOLON",
            "state": "IA",
            "postal_code": "523339218",
            "telephone_number": "515-450-8913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 9th St",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522411575",
            "country_code": "US",
            "telephone_number": "515-450-8913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MELINDA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "089407",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "01011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, IA

Sources for this page

Verify at the official NPI Registry.