PETER GREEN LADC NPI 1992347694

NPI Information

  • NPI: 1992347694
  • Provider Name: PETER GREEN, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 3400 E LAKE ST
    MINNEAPOLIS, MN
    ZIP 55406
  • Phone: (651) 274-0986

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NPI Details

Peter Green, LADC is an addiction (substance use disorder) counselor in Minneapolis, MN. Peter Green, LADC NPI is 1992347694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3400 E LAKE ST
MINNEAPOLIS, MN
ZIP 55406-150
Phone: (651) 274-0986

The enumeration date for this NPI number is 10/14/2019 and was last updated on 12/17/2025.

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)Yes
2175T00000XPeer SpecialistNo

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

NPI Synchronization or Removal

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