Organization Active NPI

Megan Greene Counseling, LLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1619539442
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MEGAN GREENE COUNSELING, LLC
Doing business as
Megan Greene Counseling, LLC
Practice address
2539 N Kedzie Blvd Ste 5E
Chicago, IL 60647-1435
Phone
(872) 903-3829
NPI assigned
Jul 2, 2019
Last updated
Jul 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Megan Greene, LCPCNPI 1316473069
Title
Owner
Phone
(989) 600-6239

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2539 N Kedzie Blvd Ste 5E
Chicago, IL 60647-1435

Mailing address

3215 N Elston Ave
Chicago, IL 60618-5850
Phone (989) 600-6239

Other identifiers 1

IdentifierTypeStateIssuer
1316473069OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Megan Greene Counseling, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL megangreenecounseling.com Direct

National Provider Directory

National Provider Directory

Locations

2539 N Kedzie Blvd
Ste 5E
Chicago, IL 60647
Phone (872) 903-3829

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1619539442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185850",
            "telephone_number": "989-600-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 N KEDZIE BLVD STE 5E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471435",
            "telephone_number": "872-903-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN GREENE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-600-6239",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1316473069",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "megangreenecounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2539 N Kedzie Blvd Ste 5E",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606471435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Megan Greene Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Megan Greene Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.