REBECCA MARIE GREEN LPC
NPI 1366143174
Counselor - Mental Health in Winder, GA

Active since March 17, 2023Opted out of Medicare · through Jan 19, 2028
104 W CANDLER ST, WINDER, GA 30680(770) 246-2822(770) 966-6995 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Marie Green Lpc NPPES

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

REBECCA MARIE GREEN LPC (NPI 1366143174) is an individual mental health provider in Winder, Georgia, licensed in Georgia (013651) and active in the NPI registry since March 2023. She has opted out of Medicare through January 19, 2028.

NPPES Registry Identity

NPI1366143174
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREBECCA MARIE GREENCredential: LPC
Location Address104 W CANDLER STWinder, GA 30680-1733
Mailing Address142 Summit View Dr.Jefferson, GA 30549 · (404) 642-7613
Fax(770) 966-6995
Sole ProprietorNo
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 14, 2023
NPI 1366143174 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 GA · 013651
104 W CANDLER ST, Winder, GA 30680

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Rebecca Marie Green Lpc 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 January 19, 2024 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2024
Opt-Out In Effect ThroughJanuary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

Counselor
104 W CANDLER ST
WINDER, GA 30680
Counselor (Mental Health)
104 W CANDLER ST
WINDER, GA 30680
Student in an Organized Health Care Education/Training Program
104 W CANDLER ST
WINDER, GA 30680
Counselor (Mental Health)
104 W CANDLER ST
WINDER, GA 30680
Counselor (Professional)
104 W CANDLER ST
WINDER, GA 30680

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 Rebecca Green's NPI number?

The NPI number for Rebecca Green is 1366143174. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Rebecca Green located?

Rebecca Green practices at 104 W Candler St, Winder, GA 30680. The listed phone number is (770) 246-2822.

What is Rebecca Green's specialty?

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

Is Rebecca Green enrolled in Medicare?

No. Rebecca Green has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Rebecca Green accept?

Health plans from Alliant Health Plans, Inc. list Rebecca 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 Rebecca Green was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.