Shelly Greene, CADC/R

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

T-22-1562 Issued in OR

Practice address

1545 Harbeck Rd
Grants Pass, OR 97527-5605

Phone

(541) 476-2373

NPI assigned

May 2, 2022

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Choices Counseling

  • Health Maintenance Organization
  • Grants Pass, OR
  • NPI 1942694336
  NPD (past)
• Grants Pass Management Services, Inc.

  dba Choices

  • Addiction (Substance Use Disorder) Counselor
  • Grants Pass, OR
  • NPI 1871703702
  NPD (past)

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1952046138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SW G ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262544",
            "telephone_number": "541-476-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HARBECK RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275605",
            "telephone_number": "541-476-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "SHELLY",
        "credential": "CADC/R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "T-22-1562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T-22-1562",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grants Pass Surgical Associates PC
• Grants Pass West of Olympus, LLC
• Green Tree Orthopedics, PC
• Cheron Marie Green, CDA
• Dagan Adair Green, MS PT
• Seann Gregory
• Melissa M Greive, D.O.
• Barbara Griffin
• Tayla Rose Griffin
• Kimberly Ann Griggs

• Mental Health Counselor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.