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MIRANDA GREEN LPC
NPI 1942947478
Counselor - Professional in Washington, MO

Active since May 16, 2022PECOS Enrolled
851 E 5TH ST STE 154, WASHINGTON, MO 63090(314) 251-6663 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2024, May 16, 2022 (2 updates tracked since 2022).

About Miranda Green Lpc NPPES

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

MIRANDA GREEN LPC (NPI 1942947478) is an individual professional provider in Washington, Missouri, licensed in Missouri (2020011992) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1942947478
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMIRANDA GREENCredential: LPC
Location Address851 E 5TH ST STE 154Washington, MO 63090-3136
Mailing Address1717 Green LnSaint Clair, MO 63077-3443 · (636) 584-1205
Phone(314) 251-6663
Sole ProprietorNo
Enumeration DateMay 16, 2022
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1942947478 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 MO · 2020011992
851 E 5TH ST STE 154, Washington, MO 63090
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Secondary Practice Location 1

Location 11351 Jefferson St Ste 111Washington, MO 63090-6449 · Phone (636) 584-1205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Green Lpc 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 2

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

MS. ALEXANDRIA COLLEEN GRODIE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
851 E 5TH ST STE 154
WASHINGTON, MO 63090
Franklin County (636) 266-7900
KELLY ANN PEPLINSKI M.A., LPC
Counselor (Professional)
851 E 5TH ST STE 154
WASHINGTON, MO 63090
Franklin County (314) 251-6663

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 Miranda Green's NPI number?

The NPI number for Miranda Green is 1942947478. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Miranda Green located?

Miranda Green practices at 851 E 5th St Ste 154, Washington, MO 63090. The listed phone number is (314) 251-6663.

What is Miranda Green's specialty?

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

Is Miranda Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Miranda Green was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.