DOREEN GREEN (LPC) – Addiction (Substance Use Disorder) Counselor, NPI 1649633256

DOREEN GREEN (LPC) is a healthcare provider. based in East hazel crest, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 178010219 (IL). The NPI Number for DOREEN GREEN (LPC) is 1649633256

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DOREEN GREEN (LPC)
NPI
1649633256
Phone
(708) 647-3333
Address
1909 CHEKER SQ
Enumeration Date
31 March 2016
Last Update Date
31 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4153603348
Graduation Year
2013 (13 years ago)
PAC ID
4880038520
Group Practice PAC ID
3678948809
Professional Enrollment ID
I20240221001048
Address ID
IL606074623CH1440XSTXX439
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,308 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for DOREEN GREEN (LPC)

  • 1909 CHEKER SQ

    EAST HAZEL CREST, IL 604291442

    Phone: (708) 647-3333

    Fax: (708) 647-3504

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240221001048IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60429)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678948809View full group profile
NameSpecialtyState
Mental Health CounselorTX
Mental Health CounselorWI
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorAZ
Mental Health CounselorAZ
Mental Health CounselorAZ
Clinical PsychologistIL
Clinical Social WorkerIL
Mental Health CounselorWI

Reviews

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Frequently asked questions

Is there an official ID for DOREEN GREEN (LPC) in U.S. healthcare records?
The official identifier for DOREEN GREEN (LPC) is NPI 1649633256.
Active or inactive — what applies to DOREEN GREEN (LPC)?
You should see DOREEN GREEN (LPC) as active in CMS-hosted NPPES data.
What kind of doctor is DOREEN GREEN (LPC)?
DOREEN GREEN (LPC) is associated with Addiction (Substance Use Disorder) Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is DOREEN GREEN (LPC) registered?
Use East Hazel Crest, Illinois as the headline location for DOREEN GREEN (LPC) here.
When was this NPI issued?
Enumeration for DOREEN GREEN (LPC) is noted as March 31, 2016 where the registry provides it.

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