Amanda Green, LAC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-23558 Issued in AZ

Practice address

2200 E Williams Field Rd Ste 200
Gilbert, AZ 85295-0764

Phone

(480) 710-0713

NPI assigned

Aug 27, 2025

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1720967565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 S MARTINGALE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978210",
            "telephone_number": "480-710-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E WILLIAMS FIELD RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950764",
            "telephone_number": "480-710-0713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3635 E Inverness Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852063848",
            "country_code": "US",
            "telephone_number": "480-267-9278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AMANDA",
        "credential": "LAC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-23558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Gray, FMCHC
• Jordan Gray
• Mikelane Gray
• Tiffany Nicole Graybill, DO
• Michael K. Greding, D.D.S.
• Casey J Green, CPHT
• Danielle L. Green, M.A. CCC-SLP
• Kaitlyn Green
• Ross Green
• Christina Louise Greene-Salman

• Mental Health Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2025; 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.