Tania Green, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701014028 Issued in VA

Practice address

1805 Airline Blvd
Portsmouth, VA 23707-3912

Phone

(203) 524-3775

NPI assigned

Jul 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tania Bisono Former name

Medicare fee-for-service enrollment

Enrolled in VA

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.

• Child & Family Services of Eastern Virginia, Inc

  dba The Up Center

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1629158159

  Multi-Specialty

  Medicare reassignment NPD
• Child and Family Services of Eastern Virginia

  • Mental Health Counselor
  • Portsmouth, VA
  • NPI 1487867776
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1578171096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5589 DUNLOE DR APT 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553192",
            "telephone_number": "203-524-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 AIRLINE BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073912",
            "telephone_number": "203-524-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TANIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701014028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "BISONO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Cecilia Green, D.O.
• Mary Green, DO
• Maxine Cecilia Green, LCSW
• Roosevely T Green Jr., DDS
• Sandy Charles Green Jr., IDHS
• Tanika Chante Green, PHARM.D.
• Ularisi R Green, PHD
• Rachel Lynn Greenberg Seaman, RPH
• Grant David Greenberg, L.C.S.W
• Catherine Ann Greene, PHD

• Mental Health Counselor in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.