Mary Ann Green, M.A., LPC, RD, LD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006148 Issued in GA

Practice address

1010 4TH Ave N
Nashville, TN 37219-1110

Phone

(615) 724-0865

Fax

(615) 724-0871

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Mary Ann Woodward Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 2, 2025 through Jul 2, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Nurtured Soul Counseling and Wellness, PLLC

  • Mental Health Counselor
  • Nashville, TN
  • NPI 1982395091

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1669735957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 4TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191110",
            "telephone_number": "615-724-0865",
            "fax_number": "615-724-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 4TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191110",
            "telephone_number": "615-724-0865",
            "fax_number": "615-724-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006148",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WOODWARD",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "M.A., LPC, RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsay Green, AGACNP-BC
• Lisa M Green, LPC-MHSP
• Lynnissa Green
• Makayla Green
• Margaret Green, MS, RD, LDN
• Mary Lauren Green, PMHNP-BC
• Nathaniel Green, PA-C
• Parker Green, DC
• Rachael M Green, APRN, MSN, NNP-BC
• Rachel Green

• All providers in Nashville, TN
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.