Individual provider Active NPI

Anna Green Cecile Green, RBT

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1972269108
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH27063 Issued in FL
Practice address
112 W Cervantes St
Pensacola, FL 32501-3128
Phone
(850) 466-3200
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-124329 AL
Mental Health Counselor 101YM0800X IMH27063 FL Primary

Addresses

Primary practice location

112 W Cervantes St
Pensacola, FL 32501-3128

Mailing address

112 W Cervantes St
Pensacola, FL 32501-3128
Phone (850) 466-3200

Other practice location 1

203 Narrows Pkwy Ste B
Birmingham, AL 35242-8649
Phone (205) 362-7035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMH27063FLMDMental Health Counselor
RBT-20-124329ALMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1972269108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W CERVANTES ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013128",
            "telephone_number": "850-466-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W CERVANTES ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013128",
            "telephone_number": "850-466-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Narrows Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352428649",
            "country_code": "US",
            "telephone_number": "205-362-7035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANNA GREEN",
        "middle_name": "CECILE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "RBT-20-124329",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH27063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.