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LAURA GREEN LCSW
NPI 1003490673
Counselor - Mental Health in Danville, IL

Active since May 10, 2021PECOS EnrolledAccepts Medicare Assignment
103 E LIBERTY LN, DANVILLE, IL 61832(309) 704-0034 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Apr 4, 2023, May 10, 2021 (3 updates tracked since 2021).

About Laura Green Lcsw NPPES

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

LAURA GREEN LCSW (NPI 1003490673) is an individual mental health provider in Danville, Illinois and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003490673
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAURA GREENCredential: LCSW
Location Address103 E LIBERTY LNDanville, IL 61832-1442
Mailing Address103 E Liberty LnDanville, IL 61832-1442 · (309) 704-0034
Phone(309) 704-0034
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 10, 2021
Last NPPES UpdateAugust 22, 20253 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
✔ NPI 1003490673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
103 E LIBERTY LN, Danville, IL 61832
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Other Names 1

Former Name (1)Laura Tallon

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

Laura Green Lcsw 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 ID6901258193
PECOS Enrollment IDI20240124000671
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.

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 Laura Green's NPI number?

The NPI number for Laura Green is 1003490673. It was assigned to this individual provider in the NPPES registry on May 10, 2021. The provider is also known as Laura Tallon.

Where is Laura Green located?

Laura Green practices at 103 E Liberty Ln, Danville, IL 61832. The listed phone number is (309) 704-0034.

What is Laura Green's specialty?

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

Is Laura Green enrolled in Medicare?

Yes. Laura 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.

When was this NPI record last updated?

The NPPES record for Laura Green was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.