MR. RICHARD GREEN L.C.S.W.
NPI 1184632291
Counselor - Mental Health in San Diego, CA

Q: What is Richard Green's NPI number?

The NPI number for Richard Green is 1184632291. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Richard Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Richard Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment

3551 FRONT ST, SAN DIEGO, CA 92103(858) 939-3156(858) 939-6725 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Richard Green L.c.s.w. NPPES

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

MR. RICHARD GREEN L.C.S.W. (NPI 1184632291) is an individual mental health provider in San Diego, California, licensed in California (LC9773) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1184632291

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. RICHARD GREENCredential: L.C.S.W.

Location Address3551 FRONT STSan Diego, CA 92103-4815

Mailing Address3551 Front StSan Diego, CA 92103-4815 · (858) 939-3156 · Fax (858) 939-6725

Phone(858) 939-3156

Fax(858) 939-6725

Sole ProprietorYes

Medical School CMSOtherGraduated 1980

Enumeration DateAugust 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1184632291 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 CA · LC9773

3551 FRONT ST, San Diego, CA 92103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Richard Green L.c.s.w. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476679218

PECOS Enrollment IDI20100929000663

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 8

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

DR. ELLEN BETH MARGOLIS PHD

Psychologist