Angie Green, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003868A Issued in IN

Practice address

540 US 31
Greenwood, IN 46142-3052

Phone

(317) 554-7059

NPI assigned

Jul 2, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Green Counseling & Associates

  • Mental Health Counselor
  • Greenwood, IN
  • NPI 1972191526

  Mental Health

  NPD
• Kenosis Center, Inc.

  • Clinical Social Worker
  • Greenwood, IN
  • NPI 1659433761
  NPD (past)
• Kenosis Counseling Center, Inc.

  • Clinical Social Worker
  • Greenwood, IN
  • NPI 1699920553
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1679069769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 US 31",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 US 31",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423052",
            "telephone_number": "317-554-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANGIE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003868A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Graves, RBT
• Christopher D Gray, PT
• Kimberly Gray, PMHNP
• Great Lakes Institute for Neuropsychology & Behavioral Health
• Green Counseling & Associates
• Brian Lee Green, D.C.
• Dana Green, RBT
• Erica Green, MSW, LCSW
• Justin Lee Green, D.C.
• Micaiah Noel Green

• Mental Health Counselor in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.