MS. JUDITH H GREEN LCPC
NPI 1396860821
Counselor - Professional in Indian Head Park, IL
Active since March 21, 2007
About Ms. Judith H Green Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JUDITH H GREEN LCPC (NPI 1396860821) is an individual professional provider in Indian Head Park, Illinois, licensed in Illinois (180002622) and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1396860821
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JUDITH H GREENCredential: LCPC
Location Address125 ACACIA CIRCLE, #504Indian Head Park, IL 60525
Mailing Address125 Acacia Circle, #504Indian Head Park, IL 60525 · (630) 841-5573
Phone(630) 841-5573
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateJune 4, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1396860821 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180002622
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CERT# 5603 (IL)
125 ACACIA CIRCLE, Indian Head Park, IL 60525
Other Identifiers 1
Other1623196IL · Blue Cross Blue Shield
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396860821, enumerated as an "individual" on March 21, 2007.
The provider is located at 125 ACACIA CIRCLE #504 INDIAN HEAD PARK, IL 60525 and the phone number is (630) 841-5573.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
