Julie Green, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC12428 Issued in MD

Practice address

19856 Three Notch Rd
Lexington Park, MD 20653-3560

Phone

(240) 434-6059

NPI assigned

Feb 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Personalized Therapy, LLC

  • Occupational Therapist
  • California, MD
  • NPI 1699711135
  Medicare reassignment NPD
• St. Mary'S County Health Department

  • Public Health or Welfare Agency
  • Leonardtown, MD
  • NPI 1417226770
  Medicare reassignment

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1912530056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21580 PEABODY ST",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502962",
            "telephone_number": "301-475-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19856 THREE NOTCH RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533560",
            "telephone_number": "240-434-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JULIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC12428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Gray, LCSW-C
• Greater Baden Medical Service Incorporated
• Greater Baden Medical Service Incorporated
• Greater Baden Medical Service Incorporated
• Green Chiropractic & Wellness
• Megan Noel Green, D.C.
• Grimsley Chiropractic Services, P.C.
• Gary Michael Grimsley, D.C.
• Lee'Che Gross
• L'Tanya A. Haith, M.D.

• Mental Health Counselor in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.