MINDY GREEN
NPI 1679195556
Counselor - Mental Health in Davie, FL

Active since May 13, 2020PECOS EnrolledAccepts Medicare Assignment
4611 S UNIVERSITY DR # 459, DAVIE, FL 33328(954) 228-5426 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2025, May 13, 2020 (2 updates tracked since 2020).

About Mindy Green NPPES

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

MINDY GREEN (NPI 1679195556) is an individual mental health provider in Davie, Florida, licensed in Florida (MH13309) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1679195556
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMINDY GREEN
Location Address4611 S UNIVERSITY DR # 459Davie, FL 33328-3817
Mailing Address4611 S University Dr # 459Davie, FL 33328-3817 · (954) 228-5426
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 13, 2020
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
NPI 1679195556 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 FL · MH13309
4611 S UNIVERSITY DR # 459, Davie, FL 33328

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mindy Green is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173960275
PECOS Enrollment IDI20240325004052
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 Mindy Green's NPI number?

The NPI number for Mindy Green is 1679195556. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Mindy Green located?

Mindy Green practices at 4611 S University Dr # 459, Davie, FL 33328. The listed phone number is (954) 228-5426.

What is Mindy Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mindy Green enrolled in Medicare?

Yes. Mindy Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mindy Green accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Mindy Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mindy Green was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.