MR. DOUGLAS GREEN MFT, LPCC
NPI 1699806216
Marriage & Family Therapist in Los Angeles, CA

Active since March 07, 2007Opted out of Medicare · through Feb 8, 2028
12304 SANTA MONICA BLVD STE 327, LOS ANGELES, CA 90025(818) 624-3637(818) 905-1881 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Douglas Green Mft, Lpcc NPPES

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

MR. DOUGLAS GREEN MFT, LPCC (NPI 1699806216) is an individual marriage & family therapist in Los Angeles, California, licensed in California (47730) and active in the NPI registry since March 2007. He has opted out of Medicare through February 8, 2028 and maintains a secondary practice location in Woodland Hills.

NPPES Registry Identity

NPI1699806216
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. DOUGLAS GREENCredential: MFT, LPCC
Location Address12304 SANTA MONICA BLVD STE 327Los Angeles, CA 90025-7207
Mailing Address12304 Santa Monica Blvd Ste 327Los Angeles, CA 90025-7207 · (818) 624-3637 · Fax (818) 905-1881
Fax(818) 905-1881
Sole ProprietorYes
Enumeration DateMarch 7, 2007
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
NPI 1699806216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 47730
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
12304 SANTA MONICA BLVD STE 327, Los Angeles, CA 90025

Secondary Practice Location 1

Location 15550 Topanga Canyon Blvd Ste 300Woodland Hills, CA 91367-7448 · Phone (818) 624-3637

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Douglas Green Mft, Lpcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 8, 2024 through February 8, 2028.

Opt-Out Effective DateFebruary 8, 2024
Opt-Out In Effect ThroughFebruary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

Marriage & Family Therapist
12304 SANTA MONICA BLVD STE 327
LOS ANGELES, CA 90025
Counselor (Mental Health)
12304 SANTA MONICA BLVD STE 327
LOS ANGELES, CA 90025
Marriage & Family Therapist
12304 SANTA MONICA BLVD STE 327
LOS ANGELES, CA 90025
Marriage & Family Therapist
12304 SANTA MONICA BLVD STE 327
LOS ANGELES, CA 90025
Marriage & Family Therapist
12304 SANTA MONICA BLVD STE 327
LOS ANGELES, CA 90025
Marriage & Family Therapist
12304 SANTA MONICA BLVD STE 327
LOS ANGELES, CA 90025
Marriage & Family Therapist
12304 SANTA MONICA BLVD STE 327
LOS ANGELES, CA 90025
Marriage & Family Therapist
12304 SANTA MONICA BLVD STE 327
LOS ANGELES, CA 90025

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 Douglas Green's NPI number?

The NPI number for Douglas Green is 1699806216. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Douglas Green located?

Douglas Green practices at 12304 Santa Monica Blvd Ste 327, Los Angeles, CA 90025. The listed phone number is (818) 624-3637.

What is Douglas Green's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Douglas Green enrolled in Medicare?

No. Douglas Green has opted out of Medicare through February 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Douglas Green was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.