Individual provider Active NPI

Faith E Green, PLMHP

  • Counselor
  • Papillion, NE
National Provider Identifier
1902373897
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11595 Issued in NE
Practice address
302 American Pkwy
Papillion, NE 68046-6270
Phone
(402) 553-3000
NPI assigned
Oct 29, 2018
Reactivated
Jan 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11595 NE Primary

Addresses

Primary practice location

302 American Pkwy
Papillion, NE 68046-6270

Mailing address

3904 S 193Rd Cir
Omaha, NE 68130-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20260106003024 NE Practitioner - Mental Health Counselor 4486140787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10845 Harney St
Omaha, NE 68154-2637

10845 Harney St
Omaha, NE 68154-2639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11595NEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Citycare Counseling, Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

10845 Harney St
Omaha, NE 68154
Phone (402) 330-3360

11607 M Cir
Omaha, NE 68137

10845 Harney St
Ste 200
Omaha, NE 68154

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1902373897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 S 193RD CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681305011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 AMERICAN PKWY",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466270",
            "telephone_number": "402-553-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "FAITH",
        "middle_name": "E",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2026-01-05",
        "deactivation_date": "2025-12-21",
        "reactivation_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "11595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.