Individual provider Active NPI

Madison Bailee Green, LPC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1760104756
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCCANDIDATE10997 Issued in OK
Practice address
2424 E 21St St Ste 500
Tulsa, OK 74114-1723
Phone
(918) 201-2116
Fax
(918) 984-9495
NPI assigned
Sep 15, 2022
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCCANDIDATE10997 OK Primary

Addresses

Primary practice location

2424 E 21St St Ste 500
Tulsa, OK 74114-1723

Mailing address

7320 S Yale Ave Ste B
Tulsa, OK 74136-7034
Phone (888) 803-5543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20260214000587 OK Practitioner - Mental Health Counselor 9335629708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

114 W Delaware Ave
Nowata, OK 74048-2601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCCANDIDATE10997OKMDProfessional Counselor
10997OKMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lake Mental Health Center Inc. CurrentSince Feb 3, 2026 Accepting new patients
Tulsa Emh1 LLC CurrentSince Aug 30, 2026 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Feb 3, 2026 Accepting new patients

Locations

901 W Caddo St
Cleveland, OK 74020
Phone (918) 261-1129

907 W Caddo St
Cleveland, OK 74020
Phone (918) 308-5511

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

2424 E 21st St
Ste 500
Tulsa, OK 74114
Phone (918) 201-2116

7320 S Yale Ave
Ste B
Tulsa, OK 74136
Phone (918) 922-2335

Organizations & group practices 4

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": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1760104756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 S YALE AVE STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367034",
            "telephone_number": "888-803-5543",
            "fax_number": "888-595-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E 21ST ST STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141723",
            "telephone_number": "918-201-2116",
            "fax_number": "918-984-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MADISON",
        "middle_name": "BAILEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPCCANDIDATE10997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.