MRS. AYANA T GREEN LPC
NPI 1508171380
Counselor - Professional in Jonesboro, GA

Active since August 17, 2010PECOS Enrolled
112 BROAD ST, JONESBORO, GA 30236(404) 317-8215 Get Directions Write a Review

NPPES record last updated: August 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Ayana T Green Lpc NPPES

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

MRS. AYANA T GREEN LPC (NPI 1508171380) is an individual professional provider in Jonesboro, Georgia, licensed in Georgia (LPC005885) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1508171380
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. AYANA T GREENCredential: LPC
Location Address112 BROAD STJonesboro, GA 30236-3563
Mailing Address112 Broad StJonesboro, GA 30236-3563 · (404) 317-8215
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 17, 2010
NPI 1508171380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC005885
112 BROAD ST, Jonesboro, GA 30236

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Ayana T Green Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012493851
PECOS Enrollment IDI20260112000433
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Ayana Green's NPI number?

The NPI number for Ayana Green is 1508171380. It was assigned to this individual provider in the NPPES registry on August 17, 2010.

Where is Ayana Green located?

Ayana Green practices at 112 Broad St, Jonesboro, GA 30236. The listed phone number is (404) 317-8215.

What is Ayana Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ayana Green enrolled in Medicare?

Yes. Ayana Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ayana Green was last updated on August 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.