Megan Patience Green, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701010686 Issued in VA

Practice address

117 S Asaph St
Alexandria, VA 22314

Phone

(703) 615-9105

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Prismatic Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, VA
  • NPI 1508539370
  NPD Authorized official

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1558037457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 BELLE VIEW BLVD # 4120",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076531",
            "telephone_number": "703-249-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S ASAPH ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "703-615-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MEGAN",
        "middle_name": "PATIENCE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Green
• Kirsten Leanne Green
• Lacey Diana Green, RBT
• Lynnette Green
• Marina Green
• Michael Joseph Green, D.D.S.
• Mikail S Green
• Nyla Green
• Elise Joy Greenberg, ACUPUNCTURIST
• Chrishonna C Greene, LCSW

• Professional Counselor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.