DR. MCKENZIE GREEN LPC-S NPI 1184096117

NPI Information

  • NPI: 1184096117
  • Provider Name: DR. MCKENZIE GREEN, LPC-S
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 5820 DIX ST. NE
    BLDG 1 STE 125
    WASHINGTON, DC
    ZIP 20019
  • Phone: (240) 736-5230

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NPI Details

DR. Mckenzie Green, LPC-S is a professional counselor in Washington, DC. DR. Mckenzie Green, LPC-S NPI is 1184096117. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5820 DIX ST. NE
BLDG 1 STE 125
WASHINGTON, DC
ZIP 20019-001
Phone: (240) 736-5230

The enumeration date for this NPI number is 10/29/2015 and was last updated on 9/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)PRC15115DISTRICT OF COLUMBIANo
2101YP2500XCounselorProfessionalA9048NORTH CAROLINANo
3101YP2500XCounselorProfessionalPRC15115DISTRICT OF COLUMBIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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