Individual provider Active NPI

Chelsea Elizabeth Greene, MASTERS DEGREE PSYCH

  • Mental Health Counselor
  • Elizabeth City, NC
National Provider Identifier
1972737401
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9115 Issued in NC
Practice address
1851 W Ehringhaus St Ste 180
Elizabeth City, NC 27909-4555
Phone
(910) 585-3407
Fax
(910) 585-3407
NPI assigned
May 12, 2009
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9115 NC Primary

Addresses

Primary practice location

1851 W Ehringhaus St Ste 180
Elizabeth City, NC 27909-4555

Mailing address

1851 W Ehringhaus St Ste 180
Elizabeth City, NC 27909-4555
Phone (910) 585-3407

Other names 1

  • Ms. Chelsea Elizabeth Greene Professional name

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
9115NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Institute,PLLC Mental Health Current Accepting new patients

Locations

1851 W Ehringhaus St
Elizabeth City, NC 27909
Phone (910) 585-3407

2664 Timber Dr
Garner, NC 27529
Phone (919) 218-0375

19 E Front St
Ste 100
Lillington, NC 27546
Phone (910) 585-3407

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

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1972737401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 W EHRINGHAUS ST STE 180",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094555",
            "telephone_number": "910-585-3407",
            "fax_number": "910-585-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 W EHRINGHAUS ST STE 180",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094555",
            "telephone_number": "910-585-3407",
            "fax_number": "910-585-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "CHELSEA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MASTERS DEGREE PSYCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "GREENE",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "MASTERS DEGREE COUNS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.