Nicole Green LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0162171 Issued in NM

Legal business name

NICOLE GREEN LLC

Doing business as

Nicole Green Counseling & Wellness

Practice address

1740 Grande Blvd SE Ste D-7
Rio Rancho, NM 87124-1799

Phone

(505) 750-1069

Fax

(844) 714-2499

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Nicole Green, LPCC, NCCNPI 1306105424

Title

Owner

Phone

(505) 750-1069

Specialties & licenses 1

Addresses

Other names 1

• Nicole Green Counseling & Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Trene Green, LPCC

  • Professional Counselor
  • Rio Rancho, NM
  • NPI 1306105424
  NPD Authorized official

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1730506189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 GRANDE BLVD SE STE D-7",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241799",
            "telephone_number": "505-750-1069",
            "fax_number": "844-714-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 GRANDE BLVD SE STE D-7",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241799",
            "telephone_number": "505-750-1069",
            "fax_number": "844-714-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE GREEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-750-1069",
        "authorized_official_credential": "LPCC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0162171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicole Green Counseling & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.