Melani Green, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8121 Issued in NC

Practice address

139 Pinehurst Ave Ste a
Southern Pines, NC 28387-7099

Phone

(910) 725-1246

Fax

(803) 693-0829

NPI assigned

Apr 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The M.E. Green House

  • Community/Behavioral Health Agency
  • Southern Pines, NC
  • NPI 1891069761
  NPD Authorized official

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1821387226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 EDDIE MASSEY LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297300025",
            "telephone_number": "803-554-8638",
            "fax_number": "803-693-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 PINEHURST AVE STE A",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877099",
            "telephone_number": "910-725-1246",
            "fax_number": "803-693-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MELANI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5613",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1333",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Kailin Grandolfo
• Jason Richard Graves, DMD
• Erin Cannon Gray, CPNP-PC
• Great Massage and Facial Spa
• Greater Image Healthcare Corp
• Samantha Green
• Katharine Rae Rae Greenthal
• Lauren Gregg
• Susan Scull Grine, LPCA
• Brittany Grogan, M.ED

• Professional Counselor in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.