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MIKKISHA SHARAE GREENE
NPI 1396251211
Counselor - Addiction (Substance Use Disorder) in Des Moines, IA

Active since December 15, 2017
3806 EASTON BLVD, DES MOINES, IA 50317(515) 262-0349 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mikkisha Sharae Greene NPPES

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

MIKKISHA SHARAE GREENE (NPI 1396251211) is an individual addiction (substance use disorder) provider in Des Moines, Iowa, licensed in Iowa (14117) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1396251211
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMIKKISHA SHARAE GREENE
Location Address3806 EASTON BLVDDes Moines, IA 50317-5730
Mailing Address3806 Easton BlvdDes Moines, IA 50317-5730 · (515) 262-0349
Phone(515) 262-0349
Sole ProprietorNo
Enumeration DateDecember 15, 2017
✔ NPI 1396251211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IA · 14117
3806 EASTON BLVD, Des Moines, IA 50317
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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.

MR. CHRISTOPHER MICHAEL KENLINE MS, IAADC
Counselor (Addiction (Substance Use Disorder))
3806 EASTON BLVD
DES MOINES, IA 50317
Polk County (515) 262-0349
COMMUNITY AND FAMILY RESOURCES
Substance Abuse Rehabilitation Facility
3806 EASTON BLVD
DES MOINES, IA 50317
Polk County (515) 262-0349
LISA L CHAPMAN MS, CADC
Counselor (Addiction (Substance Use Disorder))
3806 EASTON BLVD
DES MOINES, IA 50317
Polk County (515) 661-5885
LAVANYAA SHRALAN-SCHADE CADC
Counselor (Addiction (Substance Use Disorder))
3806 EASTON BLVD
DES MOINES, IA 50317
Polk County (515) 262-0349
ELIZABETH HUNTER-MANN CADC
Counselor (Addiction (Substance Use Disorder))
3806 EASTON BLVD
DES MOINES, IA 50317
Polk County (515) 262-0349

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 Mikkisha Greene's NPI number?

The NPI number for Mikkisha Greene is 1396251211. It was assigned to this individual provider in the NPPES registry on December 15, 2017.

Where is Mikkisha Greene located?

Mikkisha Greene practices at 3806 Easton Blvd, Des Moines, IA 50317. The listed phone number is (515) 262-0349.

What is Mikkisha Greene's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mikkisha Greene was last updated on December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.