DORIS A GREEN (LPCC) – Mental Health Counselor, NPI 1376550095

DORIS A GREEN (LPCC) is a healthcare provider. based in Owensboro, Kentucky. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. 104698 (KY). The NPI Number for DORIS A GREEN (LPCC) is 1376550095

Main info

Female
29 Years Of Experience
Name
DORIS A GREEN (LPCC)
NPI
1376550095
Phone
(270) 685-3722
Address
3500 VILLA PT
Enumeration Date
2 August 2006
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2702401076
Graduation Year
1997 (29 years ago)
PAC ID
3678925450
Group Practice PAC ID
4183981517
Professional Enrollment ID
I20240117002180
Address ID
KY423012028OW1326XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

862 MENTAL HEALTH COUNSELOR in KY

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Provider Addresses for DORIS A GREEN (LPCC)

  • Salsarita's, 3500, Villa Point, Owensboro, Daviess County, Kentucky, 42303, United States

    SUITE 110

    OWENSBORO, KY 423037825

    Phone: (270) 685-3722

    Fax: (270) 688-9123

    Type: Location

  • 1326 W 9TH ST

    OWENSBORO, KY 423012028

    Phone: (270) 240-1076

    Fax: (626) 227-7609

    Type: Mailing

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: 2024-01-17

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
I20240117002180IMental Health CounselorKYTBD

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 42303)

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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: 4183981517View full group profile
NameSpecialtyState
Clinical Social WorkerKY
-KY
Mental Health CounselorKY
-KY
Clinical Social WorkerKY
Clinical Social WorkerKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for DORIS A GREEN (LPCC)?
DORIS A GREEN (LPCC) — NPI 1376550095 — is the standard way to identify this listing.
Can I rely on DORIS A GREEN (LPCC) being an active provider?
As of the registry snapshot, DORIS A GREEN (LPCC) is marked active.
What healthcare role does DORIS A GREEN (LPCC) hold?
Scheduling teams often label DORIS A GREEN (LPCC) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What area does DORIS A GREEN (LPCC) serve?
DORIS A GREEN (LPCC)'s listing highlights Owensboro, Kentucky; more addresses can appear in NPPES.
Why does DORIS A GREEN (LPCC) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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