KEISHA MCLEAN-GREEN CCS, LCAS, MAC, LPC
NPI 1992129266
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Q: What is Keisha Mclean-green's NPI number?

The NPI number for Keisha Mclean-green is 1992129266. It was assigned to this individual provider in the NPPES registry on February 7, 2014.

Q: What is Keisha Mclean-green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since February 07, 2014

1977 J N PEASE PL STE 104, CHARLOTTE, NC 28262(704) 215-4095(704) 271-1559 Get Directions Write a Review

NPPES record last updated: July 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2019, Mar 17, 2018, Mar 2, 2018 (3 updates tracked since 2018).

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About Keisha Mclean-green Ccs, Lcas, Mac, Lpc NPPES

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

KEISHA MCLEAN-GREEN CCS, LCAS, MAC, LPC (NPI 1992129266) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (1828) and active in the NPI registry since February 2014. She maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1992129266

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKEISHA MCLEAN-GREENCredential: CCS, LCAS, MAC, LPC

Location Address1977 J N PEASE PL STE 104Charlotte, NC 28262-4528

Mailing Address1977 J N Pease Pl Ste 104Charlotte, NC 28262-4528 · (917) 975-2675 · Fax (704) 271-1559

Phone(704) 215-4095

Fax(704) 271-1559

Sole ProprietorYes

Enumeration DateFebruary 7, 2014

Last NPPES UpdateJuly 6, 20193 updates tracked since enumeration

✔ NPI 1992129266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NC · 1828

Also ListedCounselorTaxonomy 101Y00000X · License 12321 (NC)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 12321 (NC)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 12321 (NC)

Also ListedRehabilitation CounselorTaxonomy 225C00000X · License 00102070 (IL)

1977 J N PEASE PL STE 104, Charlotte, NC 28262

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Secondary Practice Location 1

Location 151 Union St SConcord, NC 28025-5009 · Phone (704) 215-4095 · Fax (704) 271-1559

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.

MR. DAMEKO NAISHON THORPE MSW,LCSWA

Counselor (Addiction (Substance Use Disorder))