Individual provider Active NPI

Doris A Green, LPCC

  • Mental Health Counselor
  • Owensboro, KY
National Provider Identifier
1376550095
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
104698 Issued in KY
Practice address
1326 W 9TH St
Owensboro, KY 42301-2028
Phone
(270) 240-1076
Fax
(626) 227-7609
NPI assigned
Aug 2, 2006
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 104698 KY Primary

Addresses

Primary practice location

1326 W 9TH St
Owensboro, KY 42301-2028

Mailing address

1326 W 9TH St
Owensboro, KY 42301-2028
Phone (270) 240-1076

Other identifiers 1

IdentifierTypeStateIssuer
7100310170MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240117002180 KY Practitioner - Mental Health Counselor 3678925450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Counseling Connections LLCGroup PAC ID 4183981517, 5 clinicians

Practice addresses (Care Compare)

1326 W 9TH St
Owensboro, KY 42301-2028
Phone (270) 240-1076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Connections, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1326 W 9th St
Owensboro, KY 42301
Phone (270) 240-1076

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1376550095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 W 9TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012028",
            "telephone_number": "270-240-1076",
            "fax_number": "626-227-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 W 9TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012028",
            "telephone_number": "270-240-1076",
            "fax_number": "626-227-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DORIS",
        "middle_name": "A",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "104698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100310170",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.