Lea Maria Therese Green, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P14097 Issued in NY

Practice address

98 Park Ave
Babylon, NY 11702-1709

Phone

(802) 532-5642

NPI assigned

Jun 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1447876347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 GRAND AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103559",
            "telephone_number": "516-491-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021709",
            "telephone_number": "802-532-5642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2829 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117103559",
            "country_code": "US",
            "telephone_number": "516-491-9962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LEA",
        "middle_name": "MARIA THERESE",
        "credential": "MHC-LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P14079",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P14097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Goldstein
• Pamela N Goldstein, LMSW
• Christine Madaline Graham
• Katerina Brianna Graham, CAT-LP
• Sharon Greaney-Watt, LCSW
• Victoria Green, LMHC
• Robert E Gribbin
• Joseph Anthony Grignoli, PTA
• Stephen Lewis Grossman, DDS
• Barry L Gruber, M.D.

• Mental Health Counselor in Babylon, NY
• Providers in Babylon, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.