Betty Ann Green, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

20005009296 Issued in MO

Practice address

4649 Whisper Lake Dr
Florissant, MO 63033-4306

Phone

(314) 951-4042

Fax

(314) 741-4240

NPI assigned

Jul 5, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Abundant Living Consumer Directed Services LLC

  • Home Health Agency
  • Florissant, MO
  • NPI 1164814240
  NPD (past) Authorized official
• Clarus Care Consumer Directed Services, LLC

  • Home Health Agency
  • Florissant, MO
  • NPI 1508276536
  NPD (past) Authorized official

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1922206457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 VALLEY BROOK DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311985",
            "telephone_number": "314-951-4042",
            "fax_number": "314-830-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 WHISPER LAKE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630334306",
            "telephone_number": "314-951-4042",
            "fax_number": "314-741-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BETTY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "20005009296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda L Grant, LPN
• Courtney M Graves, LPC
• Meghan Anne Gravlin, DPT
• Tracie Gray
• Cindy Graydon
• Geneen Lisa Green
• Joyce Evette Green
• Lakeisha S Greenard
• Danielle Brandy Greene
• Jennifer Greene, M.SC

• Professional Counselor in Florissant, MO
• Providers in Florissant, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.