SEAN-MICHAEL GREEN
NPI 1386362390
Counselor - Mental Health in Champaign, IL

Active since August 16, 2022
206 N RANDOLPH ST, CHAMPAIGN, IL 61820(217) 290-5402 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sean-michael Green NPPES

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

SEAN-MICHAEL GREEN (NPI 1386362390) is an individual mental health provider in Champaign, Illinois, licensed in Illinois (178.018204) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1386362390
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSEAN-MICHAEL GREEN
Location Address206 N RANDOLPH STChampaign, IL 61820-3949
Mailing Address4301 187th PlCountry Club Hills, IL 60478-5657
Sole ProprietorNo
Enumeration DateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
NPI 1386362390 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 IL · 178.018204
206 N RANDOLPH ST, Champaign, IL 61820

Other Providers at the Same Location NPPES 18

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

Social Worker (Clinical)
206 N RANDOLPH ST
CHAMPAIGN, IL 61820
Psychiatry & Neurology (Psychiatry)
206 N RANDOLPH ST, 2ND FLOOR OFFICE 246
CHAMPAIGN, IL 61820
Counselor (Mental Health)
206 N RANDOLPH ST, SUITE 510
CHAMPAIGN, IL 61820
Psychiatry & Neurology (Psychiatry)
206 N RANDOLPH ST
CHAMPAIGN, IL 61820
Counselor (Professional)
206 N RANDOLPH ST, SUITE 405
CHAMPAIGN, IL 61820
General Practice
206 N RANDOLPH ST, FLOOR 2
CHAMPAIGN, IL 61820
Social Worker (Clinical)
206 N RANDOLPH ST
CHAMPAIGN, IL 61820
Community Health Worker
206 N RANDOLPH ST, SUITE 9
CHAMPAIGN, IL 61820

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 Sean-michael Green's NPI number?

The NPI number for Sean-michael Green is 1386362390. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Sean-michael Green located?

Sean-michael Green practices at 206 N Randolph St, Champaign, IL 61820. The listed phone number is (217) 290-5402.

What is Sean-michael 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 Sean-michael Green was last updated on August 16, 2022. 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.