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

Q: 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.

Q: What is Mathias Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mathias Green was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since December 04, 2017PECOS EnrolledAccepts Medicare Assignment

419 E 7TH ST STE 207, THE DALLES, OR 97058(541) 296-5452(541) 296-1537 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

On this page

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 Address419 E 7TH ST STE 207The Dalles, OR 97058-2676

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 UpdateMay 20, 20192 updates tracked since enumeration

✔ NPI 1003321753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

419 E 7TH ST STE 207, The Dalles, OR 97058

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

SHAUN ROVIG

Registered Nurse (Psychiatric/Mental Health)