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AMANDA GREEN LAC, NCC
NPI 1720967565
Counselor - Mental Health in Gilbert, AZ

Active since August 27, 2025
2200 E WILLIAMS FIELD RD STE 200, GILBERT, AZ 85295(480) 710-0713 Get Directions Write a Review

NPPES record last updated: November 9, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Amanda Green Lac, Ncc NPPES

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

AMANDA GREEN LAC, NCC (NPI 1720967565) is an individual mental health provider in Gilbert, Arizona, licensed in Arizona (LAC-23558) and active in the NPI registry since August 2025. She maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1720967565
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA GREENCredential: LAC, NCC
Location Address2200 E WILLIAMS FIELD RD STE 200Gilbert, AZ 85295-0764
Mailing Address4129 S Martingale RdGilbert, AZ 85297-8210 · (480) 710-0713
Phone(480) 710-0713
Sole ProprietorNo
Enumeration DateAugust 27, 2025
Last NPPES UpdateNovember 9, 2025
NPPES CertifiedNovember 9, 2025
✔ NPI 1720967565 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 AZ · LAC-23558
2200 E WILLIAMS FIELD RD STE 200, Gilbert, AZ 85295
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Secondary Practice Location 1

Location 13635 E Inverness Ave Ste 108Mesa, AZ 85206-3848 · Phone (480) 267-9278

Other Providers at the Same Location NPPES 20

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

ELLIOT TALENFELD
Counselor (Professional)
2200 E WILLIAMS FIELD RD STE 200
GILBERT, AZ 85295
Maricopa County (480) 581-5900
DOMINIQUE ELITA BROWN
Clinic/Center (Mental Health (Including Community Mental Health Center))
2200 E WILLIAMS FIELD RD STE 200
GILBERT, AZ 85295
Maricopa County (855) 730-7300
CRYSTAL SULIT LCSW
Social Worker (Clinical)
2200 E WILLIAMS FIELD RD STE 200
GILBERT, AZ 85295
Maricopa County (480) 581-5900
VANESSA L. WHITE LMFT
Counselor (Mental Health)
2200 E WILLIAMS FIELD RD STE 200
GILBERT, AZ 85295
Maricopa County (623) 900-4401
ELIZABETH C HATCH MAS, LMFT
Marriage & Family Therapist
2200 E WILLIAMS FIELD RD STE 200
GILBERT, AZ 85295
Maricopa County (480) 442-3781
JACQUELINE MILLER LAC
Counselor (Mental Health)
2200 E WILLIAMS FIELD RD STE 200
GILBERT, AZ 85295
Maricopa County (602) 888-4149
DR. JESSICA LEIGH RAAK PHD, LPC
Counselor (Professional)
2200 E WILLIAMS FIELD RD STE 200
GILBERT, AZ 85295
Maricopa County (480) 581-5900
JULIA SUMMER SEE-TERAN
Counselor (Mental Health)
2200 E WILLIAMS FIELD RD STE 200
GILBERT, AZ 85295
Maricopa County (623) 252-2527

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 Amanda Green's NPI number?

The NPI number for Amanda Green is 1720967565. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Amanda Green located?

Amanda Green practices at 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295. The listed phone number is (480) 710-0713.

What is Amanda Green's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Green was last updated on November 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.