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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATHIAS M GREEN
NPI 1003321753
Counselor - Mental Health in The Dalles, OR

Active since December 04, 2017PECOS Enrolled
1060 WEBBER ST, THE DALLES, OR 97058(541) 296-5452(541) 296-1537 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2019, Dec 4, 2017 (2 updates tracked since 2017).

About Mathias M Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATHIAS M GREEN (NPI 1003321753) is an individual mental health provider in The Dalles, Oregon and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1003321753
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATHIAS M GREEN
Location Address1060 WEBBER STThe Dalles, OR 97058-3749
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(541) 296-5452
Fax(541) 296-1537
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 4, 2017
Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1003321753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
1060 WEBBER ST, The Dalles, OR 97058
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mathias M Green is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264883214
PECOS Enrollment IDI20240826002961
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mathias Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mid-Columbia Center For Living
Same address
Mental Health (Including Community Mental Health Center)
1060 WEBBER ST
The Dalles, OR 97058
  • Reassigned Medicare billing, Oregon enrollment
  • 38 clinicians in this Medicare group
NPI 1699745794 (541) 296-5452

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIONNE R JUSTESEN
Case Manager/Care Coordinator
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
BRANDON THOMAS CHRISTIAN
Case Manager/Care Coordinator
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
CARINA MARTIN
Case Manager/Care Coordinator
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
GABRIELLE S. SWISHER LCSW, QMHA, B.A.
Social Worker
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
MS. ELLEN BARBOUR QMHA
Case Manager/Care Coordinator
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
MANAR ABOUL-NOUR LPC
Counselor (Professional)
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
APRIL GATCH
Counselor (Mental Health)
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
MR. TERRILL DEAN ROGERS MA, LPC, CACIII
Counselor (Mental Health)
1060 WEBBER ST
THE DALLES, OR 97058
Wasco County (541) 296-5452

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mathias Green's NPI number?

The NPI number for Mathias Green is 1003321753. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Where is Mathias Green located?

Mathias Green practices at 1060 Webber St, The Dalles, OR 97058. The listed phone number is (541) 296-5452.

What is Mathias Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mathias Green enrolled in Medicare?

Yes. Mathias Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mathias Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mathias Green reassigns Medicare benefits to Mid-Columbia Center For Living (The Dalles, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mathias Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mathias Green accept?

Health plans from Moda Health Plan, Inc. list Mathias Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mathias Green was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.