NICOLE LEIGH GREEN MPS, LPCC
NPI 1144983933
Counselor - Professional in Minneapolis, MN

Active since October 19, 2021PECOS Enrolled
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426(612) 223-8898 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2025, Oct 19, 2021 (2 updates tracked since 2021).

About Nicole Leigh Green Mps, Lpcc NPPES

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

NICOLE LEIGH GREEN MPS, LPCC (NPI 1144983933) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (CC05028) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144983933
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE LEIGH GREENCredential: MPS, LPCC
Location Address7601 WAYZATA BLVDMinneapolis, MN 55426-1626
Mailing Address7601 Wayzata BlvdMinneapolis, MN 55426-1626
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 19, 2021
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
NPI 1144983933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · CC05028
7601 WAYZATA BLVD, Minneapolis, MN 55426

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Leigh Green Mps, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951805993
PECOS Enrollment IDI20250922001536
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.

Psychologist (Clinical)
7601 WAYZATA BLVD
MINNEAPOLIS, MN 55426
Counselor (Professional)
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Counselor
7601 WAYZATA BLVD
MINNEAPOLIS, MN 55426
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Psychologist
7601 WAYZATA BLVD
SAINT LOUIS PARK, MN 55426

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 Nicole Green's NPI number?

The NPI number for Nicole Green is 1144983933. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Nicole Green located?

Nicole Green practices at 7601 Wayzata Blvd, Minneapolis, MN 55426. The listed phone number is (612) 223-8898.

What is Nicole Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Green enrolled in Medicare?

Yes. Nicole Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Green was last updated on August 14, 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.