Sheila C Green, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2854 Issued in LA

Practice address

803 Brisco Ave
Bastrop, LA 71220-5161

Phone

(318) 974-6035

Fax

(318) 515-0019

NPI assigned

Feb 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Body & Soul Services, Inc.

  dba Body & Soul Rehabilitation Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bastrop, LA
  • NPI 1285193185
  NPD (past)

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1487993937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 GEMINI DR",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203468",
            "telephone_number": "318-282-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 BRISCO AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205161",
            "telephone_number": "318-974-6035",
            "fax_number": "318-515-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Gemini Dr",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "LA",
            "postal_code": "712203468",
            "country_code": "US",
            "telephone_number": "318-282-2395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SHEILA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "213",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3941503",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bodyandsoulrehab@att.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "803 Brisco Ave",
            "city": "Bastrop",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712205161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Good Shepherd Personal Care Service LLC
• Shannon L Grantham, LCSW
• Janika E Gray, PT, DPT
• Curt Green
• Randy Green
• Trenton Lamar Green, MA
• Shamijah Griffin
• Tyler Guice, LPTA
• Janos G Guoth, M.D.
• K'Shana Hall

• Professional Counselor in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.