Justin Green, MACP, ACD, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

21372 Issued in CO

Practice address

1644 S College Ave
Fort Collins, CO 80525-1007

Phone

(970) 221-0999

NPI assigned

Sep 16, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Turning Point Center for Youth and Family Development, Inc.

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1881395226
  Medicare reassignment NPD
• Turning Point Center for Youth & Family Development, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Greeley, CO
  • NPI 1619096294
  NPD
• Aspenridge North

  • Marriage & Family Therapist
  • Fort Collins, CO
  • NPI 1558954008
  NPD (past)
• Turning Point Center for Youth and Family Development Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fort Collins, CO
  • NPI 1457470031
  NPD (past)

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1447972203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 HIBISCUS ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805264137",
            "telephone_number": "970-460-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 S COLLEGE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251007",
            "telephone_number": "970-221-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JUSTIN",
        "credential": "MACP, ACD, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-16",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "2329",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "21372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda J. Green-Baskett, L.M.H.C
• Charles Patrick Green, M.D.
• Gabriel Estes Green
• James Hamilton Green
• Jason Truman Green
• Leon Colby Green, D.D.S.
• Marilyn Evans Green, LPC, CAC III, MA
• Marybeth Green, LAC
• Lindley Greene
• Nevaeh Susan Greene

• Professional Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.