Active NPI
Benita Green
- Counselor
- Stone Mountain, GA
National Provider Identifier
1851868616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC015186
- Practice address
- 5300 Memorial Dr Ste 121
Stone Mountain, GA 30083-3154 - Phone
- (404) 254-4500
- NPI assigned
- Oct 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 005547 | GA | |
| Professional Counselor | 101YP2500X | |||
| Counselor | 101Y00000X | LPC015186 | GA | Primary |
Addresses
Primary practice location
5300 Memorial Dr Ste 121
Stone Mountain, GA 30083-3154
Mailing address
256 Strickland St
Fairburn, GA 30213-1130
Phone (404) 895-9071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC015186 | GA | MD | Counselor |
| 005547 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visions of New Hope, LLC | Current | Accepting new patients | |
| New Beginnings Today, LLC | Past | Accepting new patients |
Locations
5300 Memorial Dr
Ste 121
Stone Mountain, GA 30083
Phone (404) 254-4500
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Stone Mountain, GA
- NPI 1780913715
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1336361377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1851868616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 STRICKLAND ST",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302131130",
"telephone_number": "404-895-9071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 MEMORIAL DR STE 121",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300833154",
"telephone_number": "404-254-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "BENITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-30",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "005547",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC015186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.