Individual provider Active NPI

Sheila M Green, LCPC

  • Professional Counselor
  • Twin Falls, ID
National Provider Identifier
1891978839
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-4469 Issued in ID
Practice address
1363 Fillmore St
Twin Falls, ID 83301-3392
Phone
(208) 736-7090
Fax
(208) 736-7089
NPI assigned
Dec 13, 2007
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 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 LCPC-4469 ID Primary

Addresses

Primary practice location

1363 Fillmore St
Twin Falls, ID 83301-3392

Mailing address

1363 Fillmore St
Twin Falls, ID 83301-3392
Phone (208) 736-7090

Other practice location 1

595 Mt View Dr
Twin Falls, ID 83301-4319
Phone (435) 574-8016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Oct 10, 2024 through Oct 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-3637IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Integrative Mental Health Care Mental Health CurrentSince Feb 25, 2024 Accepting new patients
Crosspointe Mental Health, LLC Past Accepting new patients
Crosspointe Mental Health, LLC Mental Health Past Accepting new patients

Locations

111 Shoshone St N
Ste 202
Twin Falls, ID 83301
Phone (208) 490-2082

Organizations & group practices 3

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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1891978839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 FILLMORE ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013392",
            "telephone_number": "208-736-7090",
            "fax_number": "208-736-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 FILLMORE ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013392",
            "telephone_number": "208-736-7090",
            "fax_number": "208-736-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Mt View Dr",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833014319",
            "country_code": "US",
            "telephone_number": "435-574-8016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SHEILA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-4469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.