MR. REGINALD D GREEN LAC
NPI 1376958579
Counselor - Mental Health in Magnolia, AR

Active since June 25, 2014
621 E NORTH ST, MAGNOLIA, AR 71753(870) 234-0739(870) 234-0739 Get Directions Write a Review

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

About Mr. Reginald D Green Lac NPPES

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

MR. REGINALD D GREEN LAC (NPI 1376958579) is an individual mental health provider in Magnolia, Arkansas, licensed in Arkansas (A2001191) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1376958579
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. REGINALD D GREENCredential: LAC
Location Address621 E NORTH STMagnolia, AR 71753-3120
Mailing Address1600 Aldersgate Rd Ste 200Little Rock, AR 72205-6676 · (501) 661-0720 · Fax (501) 325-7938
Fax(870) 234-0739
Sole ProprietorNo
Enumeration DateJune 25, 2014
Last NPPES UpdateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
NPI 1376958579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AR · A2001191
Also ListedCounselorTaxonomy 101Y00000X
621 E NORTH ST, Magnolia, AR 71753

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.

Case Manager/Care Coordinator
621 E NORTH ST
MAGNOLIA, AR 71753
Counselor (Professional)
621 E NORTH ST
MAGNOLIA, AR 71753
Counselor (Professional)
621 E NORTH ST
MAGNOLIA, AR 71753
Counselor (Mental Health)
621 E NORTH ST
MAGNOLIA, AR 71753
Case Manager/Care Coordinator
621 E NORTH ST
MAGNOLIA, AR 71753
Case Manager/Care Coordinator
621 E NORTH ST
MAGNOLIA, AR 71753
Case Manager/Care Coordinator
621 E NORTH ST
MAGNOLIA, AR 71753
Social Worker
621 E NORTH ST
MAGNOLIA, AR 71753

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 Reginald Green's NPI number?

The NPI number for Reginald Green is 1376958579. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Reginald Green located?

Reginald Green practices at 621 E North St, Magnolia, AR 71753. The listed phone number is (870) 234-0739.

What is Reginald 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 Reginald Green was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.