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MR. WADE M GREEN JR. MA, NCC, LCPC
NPI 1033221676
Counselor - Mental Health in La Plata, MD

Active since August 31, 2006
6100 RADIO STATION RD., LA PLATA, MD 20646(301) 609-9887 Get Directions Write a Review

NPPES record last updated: June 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Wade M Green Jr. Ma, Ncc, Lcpc NPPES

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

MR. WADE M GREEN JR. MA, NCC, LCPC (NPI 1033221676) is an individual mental health provider in La Plata, Maryland, licensed in Maryland (LC2196) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1033221676
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. WADE M GREEN JR.Credential: MA, NCC, LCPC
Location Address6100 RADIO STATION RD.La Plata, MD 20646
Mailing Address4665 Prestancia Pl Apt 303Waldorf, MD 20602-4131 · (301) 928-6045 · Fax (301) 392-0306
Phone(301) 609-9887
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 2, 2009
✔ NPI 1033221676 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 MD · LC2196
6100 RADIO STATION RD., La Plata, MD 20646
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Other Identifiers 4

Medicaid521450501MD
Medicare ID-Type UnspecifiedG01516DC
Medicaid521450500MD
Medicare ID-Type Unspecified407LMD

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 Wade Green's NPI number?

The NPI number for Wade Green is 1033221676. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Wade Green located?

Wade Green practices at 6100 Radio Station Rd., La Plata, MD 20646. The listed phone number is (301) 609-9887.

What is Wade 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 Wade Green was last updated on June 2, 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.