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SHANNON PATRICIA GREEN LMHC
NPI 1023252368
Counselor - Mental Health in Palm Bay, FL

Active since April 30, 2009
490 CENTRE LAKE DR NE, SUITE 150, PALM BAY, FL 32907(321) 768-6420(321) 768-6324 Get Directions Write a Review

NPPES record last updated: April 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Patricia Green Lmhc NPPES

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

SHANNON PATRICIA GREEN LMHC (NPI 1023252368) is an individual mental health provider in Palm Bay, Florida, licensed in Florida (MH 8211) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1023252368
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON PATRICIA GREENCredential: LMHC
Location Address490 CENTRE LAKE DR NE, SUITE 150Palm Bay, FL 32907-1113
Mailing Address490 Centre Lake Dr Ne, Suite 150Palm Bay, FL 32907-1113 · (321) 768-6420 · Fax (321) 768-6324
Phone(321) 768-6420
Fax(321) 768-6324
Sole ProprietorNo
Enumeration DateApril 30, 2009
✔ NPI 1023252368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH 8211
490 CENTRE LAKE DR NE, Palm Bay, FL 32907
Open in Google Maps ↗

Other Identifiers 1

Medicaid767205522FL

Other Providers at the Same Location NPPES 7

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

NOMARA JEANNE BUCK PTA
Physical Therapy Assistant
490 CENTRE LAKE DR NE, SUITE 100
PALM BAY, FL 32907
Brevard County (321) 768-9776
RENEW THERAPY CENTER OF PALM BAY, LLC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
490 CENTRE LAKE DR NE, SUITE 100
PALM BAY, FL 32907
Brevard County (321) 768-9776
MEDFAST URGENT CARE CENTERS, LLC
Clinic/Center (Urgent Care)
490 CENTRE LAKE DR NE
PALM BAY, FL 32907
Brevard County (321) 751-7222
SHAWN WILSON PTA
Physical Therapy Assistant
490 CENTRE LAKE DR NE
PALM BAY, FL 32907
Brevard County (321) 768-9776
MARIAH PAIGE HARDY APRN
Nurse Practitioner
490 CENTRE LAKE DR NE
PALM BAY, FL 32907
Brevard County (321) 821-4950
MR. JOHN J ROBERTS BC-HAS
Hearing Instrument Specialist
490 CENTRE LAKE DR NE, SUITE 150
PALM BAY, FL 32907
Brevard County (321) 369-9900
DR. DAVID WILLIAMS DO
Emergency Medicine
490 CENTRE LAKE DR NE, SUITE 200
PALM BAY, FL 32907
Brevard County (800) 476-8646

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 Shannon Green's NPI number?

The NPI number for Shannon Green is 1023252368. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Shannon Green located?

Shannon Green practices at 490 Centre Lake Dr NE Suite 150, Palm Bay, FL 32907. The listed phone number is (321) 768-6420.

What is Shannon Green's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Green was last updated on April 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.