PETER GREEN LADC
NPI 1992347694
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Active since October 14, 2019
3400 E LAKE ST, MINNEAPOLIS, MN 55406(651) 274-0986 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 17, 2025, Oct 14, 2019 (2 updates tracked since 2019).

About Peter Green Ladc NPPES

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

PETER GREEN LADC (NPI 1992347694) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1992347694
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePETER GREENCredential: LADC
Location Address3400 E LAKE STMinneapolis, MN 55406-2150
Mailing Address3400 E Lake St Ste 101Minneapolis, MN 55406-2150 · (651) 274-0986
Sole ProprietorNo
Enumeration DateOctober 14, 2019
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1992347694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedPeer SpecialistTaxonomy 175T00000X
3400 E LAKE ST, Minneapolis, MN 55406

Other Providers at the Same Location NPPES

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

Peer Specialist
3400 E LAKE ST
MINNEAPOLIS, MN 55406

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 Peter Green's NPI number?

The NPI number for Peter Green is 1992347694. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Peter Green located?

Peter Green practices at 3400 E Lake St, Minneapolis, MN 55406. The listed phone number is (651) 274-0986.

What is Peter Green's specialty?

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

When was this NPI record last updated?

The NPPES record for Peter Green was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.