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BENITA GREEN
NPI 1851868616
Counselor in Stone Mountain, GA

Active since October 30, 2018PECOS Enrolled
5300 MEMORIAL DR STE 121, STONE MOUNTAIN, GA 30083(404) 254-4500 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benita Green NPPES

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

BENITA GREEN (NPI 1851868616) is an individual counselor in Stone Mountain, Georgia, licensed in Georgia (LPC015186) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851868616
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameBENITA GREEN
Location Address5300 MEMORIAL DR STE 121Stone Mountain, GA 30083-3154
Mailing Address256 Strickland StFairburn, GA 30213-1130 · (404) 895-9071
Phone(404) 254-4500
Sole ProprietorNo
Enumeration DateOctober 30, 2018
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1851868616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in GA · LPC015186
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 005547 (GA)
5300 MEMORIAL DR STE 121, Stone Mountain, GA 30083
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benita Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

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

MQA ENRICHMENT SERVICES LLC
Clinic/Center (Adult Mental Health)
5300 MEMORIAL DR STE 121
STONE MOUNTAIN, GA 30083
Dekalb County (919) 710-4252
MQA ENRICHMENT SERVICES LLC
Home Health
5300 MEMORIAL DR STE 121
STONE MOUNTAIN, GA 30083
Dekalb County (919) 339-3474
VISIONS OF NEW HOPE, LLC
Community/Behavioral Health
5300 MEMORIAL DR STE 121
STONE MOUNTAIN, GA 30083
Dekalb County (919) 710-4252

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 Benita Green's NPI number?

The NPI number for Benita Green is 1851868616. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Benita Green located?

Benita Green practices at 5300 Memorial Dr Ste 121, Stone Mountain, GA 30083. The listed phone number is (404) 254-4500.

What is Benita Green's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Benita Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Benita Green was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.