Individual provider Active NPI

Jayne' Green, LPC, LMHC, CAMS II

  • Mental Health Counselor
  • Sandy Springs, GA
National Provider Identifier
1689061301
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24864 Issued in FL
Practice address
5887 Glenridge Dr
Sandy Springs, GA 30328-5574
Phone
(404) 519-0080
NPI assigned
Apr 21, 2015
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH24864 FL Primary
Professional Counselor 101YP2500X LPC010885 GA

Addresses

Primary practice location

5887 Glenridge Dr
Sandy Springs, GA 30328-5574

Mailing address

3919 Gardenwood Cir
Grant Valkaria, FL 32949-8244
Phone (407) 271-2039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20250424000922 FL Practitioner - Mental Health Counselor 7810413788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Psychiatric Centers IncGroup PAC ID 1557357860, 23 clinicians

Practice addresses (Care Compare)

2123 Franklin Dr NE
Palm Bay, FL 32905-4022
Phone (321) 724-1614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC010885GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Psychiatric Centers, Inc. Mental Health CurrentSince Mar 31, 2025 Accepting new patients
Bud & Blossom Therapeutics, LLC Mental Health CurrentSince Jan 10, 2021 Accepting new patients
Odyssey Family Counseling Center Corporation Mental Health PastSince Oct 14, 2020 Accepting new patients

Locations

2123 Franklin Dr NE
Palm Bay, FL 32905
Phone (321) 724-1614

5887 Glenridge Dr
Sandy Springs, GA 30328
Phone (404) 390-4098

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/odysseycounseling/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1689061301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 GARDENWOOD CIR",
            "city": "GRANT VALKARIA",
            "state": "FL",
            "postal_code": "329498244",
            "telephone_number": "407-271-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5887 GLENRIDGE DR",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285574",
            "telephone_number": "404-519-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JAYNE'",
        "credential": "LPC, LMHC, CAMS II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24864",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.