SHANICKA GREEN
NPI 1063250413
Counselor - Addiction (Substance Use Disorder) in Carlsbad, NM

Active since July 18, 2024
1900 WESTRIDGE RD, CARLSBAD, NM 88220(575) 725-5552 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Jul 18, 2024 (2 updates tracked since 2024).

About Shanicka Green NPPES

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

SHANICKA GREEN (NPI 1063250413) is an individual addiction (substance use disorder) provider in Carlsbad, New Mexico, licensed in New Mexico (CTB20250457) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1063250413
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANICKA GREEN
Location Address1900 WESTRIDGE RDCarlsbad, NM 88220-3550
Mailing AddressPo Box 3141Carlsbad, NM 88221-3141 · (575) 725-5552 · Fax (575) 725-5552
Sole ProprietorNo
Enumeration DateJuly 18, 2024
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1063250413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NM · CTB20250457
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedPeer SpecialistTaxonomy 175T00000X · License 1735 (NM)
1900 WESTRIDGE RD, Carlsbad, NM 88220

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.

Community Health Worker
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Peer Specialist
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Peer Specialist
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Counselor (Addiction (Substance Use Disorder))
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Peer Specialist
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Counselor (Professional)
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Peer Specialist
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Social Worker (Clinical)
1900 WESTRIDGE RD
CARLSBAD, NM 88220

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 Shanicka Green's NPI number?

The NPI number for Shanicka Green is 1063250413. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Where is Shanicka Green located?

Shanicka Green practices at 1900 Westridge Rd, Carlsbad, NM 88220. The listed phone number is (575) 725-5552.

What is Shanicka Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shanicka Green was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.