HEATH A GREEN (LBSW, MA) – Professional Counselor, NPI 1265631493
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HEATH A GREEN (LBSW, MA)
4230 Copper Ridge Dr
Traverse City, MI 496847256
Phone: (231) 935-6380
Fax: (231) 935-6920
Type: Location
1105 Sixth St
Traverse City, MI 496842345
Phone: (231) 935-6380
Type: Location
Frankfort Highway, Benzonia, Crystal Lake Township, Benzie County, Michigan, 49635, United States
SUITE 200
BENZONIA, MI 496169558
Phone: (877) 398-2013
Type: Location
3415, Ballard Road, Joyfield Township, Benzie County, Michigan, 49616, United States
BENZONIA, MI 496169507
Phone: (231) 233-0719
Type: Mailing
2513 MOMENTUM PL
CHICAGO, IL 606890001
Phone: (231) 935-6380
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: 2024-01-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240116000193 | I | Mental Health Counselor | MI | TBD |
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.
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 49684)
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