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SHANNON LARAY GREEN
NPI 1194245969
Counselor - Mental Health in Las Vegas, NV

Active since June 22, 2017
3800 DALECREST DR UNIT 2109, LAS VEGAS, NV 89129(702) 448-9285 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 22, 2017 (2 updates tracked since 2017).

About Shannon Laray Green NPPES

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

SHANNON LARAY GREEN (NPI 1194245969) is an individual mental health provider in Las Vegas, Nevada and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1194245969
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON LARAY GREEN
Location Address3800 DALECREST DR UNIT 2109Las Vegas, NV 89129-1769
Mailing Address3800 Dalecrest Dr Unit 2109Las Vegas, NV 89129-1769 · (702) 448-9285
Phone(702) 448-9285
Sole ProprietorYes
Enumeration DateJune 22, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1194245969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3800 DALECREST DR UNIT 2109, Las Vegas, NV 89129
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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 Shannon Green's NPI number?

The NPI number for Shannon Green is 1194245969. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Shannon Green located?

Shannon Green practices at 3800 Dalecrest Dr Unit 2109, Las Vegas, NV 89129. The listed phone number is (702) 448-9285.

What is Shannon 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 Shannon Green was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.