MS. DEBRA JILL GREEN M.A., LMFT
NPI 1205917325
Marriage & Family Therapist in Reseda, CA

Q: What is Debra Green's NPI number?

The NPI number for Debra Green is 1205917325. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Debra Green's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Debra Green enrolled in Medicare?

No. Debra Green has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Debra 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 October 17, 2006Opted out of Medicare · through Feb 13, 2028

19231 VICTORY BLVD STE 110, RESEDA, CA 91335(818) 708-4500(818) 654-1956 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Debra Jill Green M.a., Lmft NPPES

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

MS. DEBRA JILL GREEN M.A., LMFT (NPI 1205917325) is an individual marriage & family therapist in Reseda, California, licensed in California (MFC38142) and active in the NPI registry since October 2006. She has opted out of Medicare through February 13, 2028.

NPPES Registry Identity

NPI1205917325

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. DEBRA JILL GREENCredential: M.A., LMFT

Location Address19231 VICTORY BLVD STE 110Reseda, CA 91335-6321

Mailing Address19231 Victory Blvd Ste 110Reseda, CA 91335-6321 · (818) 708-4500 · Fax (818) 654-1956

Phone(818) 708-4500

Fax(818) 654-1956

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205917325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFC38142

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

19231 VICTORY BLVD STE 110, Reseda, CA 91335

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Debra Jill Green M.a., Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2024 through February 13, 2028.

Opt-Out Effective DateFebruary 13, 2024

Opt-Out In Effect ThroughFebruary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. CINDY JONG PSY.D.

Psychologist