INGRID C GREEN LAC
NPI 1316571904
Counselor in Sparta, NJ

Active since February 24, 2020

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ingrid C Green Lac NPPES

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

INGRID C GREEN LAC (NPI 1316571904) is an individual counselor in Sparta, New Jersey, licensed in New Jersey (37AC00455500) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1316571904
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameINGRID C GREENCredential: LAC
Location Address25 MAIN STSparta, NJ 07871-1937
Mailing Address310 Parkway DrClark, NJ 07066-1626 · (738) 654-5459
Sole ProprietorYes
Enumeration DateFebruary 24, 2020
NPI 1316571904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NJ · 37AC00455500
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
25 MAIN ST, Sparta, NJ 07871

Other Names 1

Former Name (1)Ingrid C Gothmann

Other Providers at the Same Location NPPES 15

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

Home Health
25 MAIN ST, 2ND FLOOR
SPARTA, NJ 07871
Nurse Practitioner (Family)
25 MAIN ST
SPARTA, NJ 07871
Marriage & Family Therapist
25 MAIN ST
SPARTA, NJ 07871
Internal Medicine
25 MAIN ST
SPARTA, NJ 07871
Counselor
25 MAIN ST
SPARTA, NJ 07871
Counselor (Addiction (Substance Use Disorder))
25 MAIN ST
SPARTA, NJ 07871
Psychologist
25 MAIN ST
SPARTA, NJ 07871
Counselor (Addiction (Substance Use Disorder))
25 MAIN ST
SPARTA, NJ 07871

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 Ingrid Green's NPI number?

The NPI number for Ingrid Green is 1316571904. It was assigned to this individual provider in the NPPES registry on February 24, 2020. The provider is also known as Ingrid C Gothmann.

Where is Ingrid Green located?

Ingrid Green practices at 25 Main St, Sparta, NJ 07871. The listed phone number is (973) 865-4545.

What is Ingrid Green's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ingrid Green was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.