Active NPI
Serra Green, LPC
- Mental Health Counselor
- Conroe, TX
National Provider Identifier
1326768656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 82055
- Practice address
- 233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990 - Phone
- (936) 521-6100
- NPI assigned
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 82055 | TX | |
| Mental Health Counselor | 101YM0800X | 82055 | TX | Primary |
Addresses
Primary practice location
233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990
Mailing address
233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990
Phone (936) 521-6100
Other practice location 1
37027 Whipstock Rd
Magnolia, TX 77354-1911
Phone (936) 689-3972
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82055 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Counseling, PLLC | Professional | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1326768656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 SGT ED HOLCOMB BLVD S",
"city": "CONROE",
"state": "TX",
"postal_code": "773041990",
"telephone_number": "936-521-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 SGT ED HOLCOMB BLVD S",
"city": "CONROE",
"state": "TX",
"postal_code": "773041990",
"telephone_number": "936-521-6100"
}
],
"practiceLocations": [
{
"address_1": "37027 Whipstock Rd",
"address_purpose": "LOCATION",
"city": "Magnolia",
"state": "TX",
"postal_code": "773541911",
"country_code": "US",
"telephone_number": "936-689-3972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "SERRA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "82055",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "82055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.