NICOLE LEIGH GREEN MPS, LPCC
NPI 1144983933
Counselor - Professional in Minneapolis, MN
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Leigh Green Mps, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55408
- Reassigned Medicare billing, Minnesota enrollment
- 152 clinicians in this Medicare group
Edina, MN 55439
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Affinity Psychological Services PC
- 136 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Nicole Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Green reassigns Medicare benefits to 2 organizations: Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, MN) and Affinity Psychological Services, P.C. (Edina, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Green accept?
Health plans from HealthPartners list Nicole Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 14 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.
# Nicole Leigh Green, MPS, LPCC · NPI 1144983933
Professional provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since October 19, 2021.
## Identity
- **NPI:** 1144983933 (Entity type: Individual)
- **Enumerated:** October 19, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CC05028 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 7601 WAYZATA BLVD, Minneapolis, MN 55426-1626
- **Phone:** (612) 223-8898
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lyn-Lake Psychotherapy And Wellness Ltd. (NPI 1609355163, Minneapolis, MN); Affinity Psychological Services, P.C. (NPI 1245610856, Edina, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1144983933) · Data from the CMS NPPES public registry.