NPIMap

Organization Active NPI

Green Counseling Services PLLC

  • Mental Health Counselor
  • Coralville, IA
National Provider Identifier
1528564762
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
089407 Issued in IA
Legal business name
GREEN COUNSELING SERVICES PLLC
Practice address
2240 9TH St
Coralville, IA 52241-1575
Phone
(515) 450-8913
NPI assigned
Apr 5, 2018
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Dr. Melinda Ann Green, PHDNPI 1306348289
Title
Psychologist
Phone
(515) 450-8913

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 089407 IA Primary
Counseling Psychologist 103TC1900X 01011 IA

Addresses

Primary practice location

2240 9TH St
Coralville, IA 52241-1575

Mailing address

2025 Mehaffey Bridge Rd NE
Solon, IA 52333-9218
Phone (515) 450-8913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260310004312 IA Part B Supplier - Clinic/Group Practice 9234612052 Receives reassigned benefits from 31 practitioners
Practice locations: Coralville, IA

National Provider Directory

National Provider Directory

Locations

2240 9th St
Ste 4
Coralville, IA 52241

Practitioners & affiliated clinicians

Practitioners 104

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1528564762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 MEHAFFEY BRIDGE RD NE",
            "city": "SOLON",
            "state": "IA",
            "postal_code": "523339218",
            "telephone_number": "515-450-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411575",
            "telephone_number": "515-450-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "515-450-8913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "089407",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "01011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.