Latia Chanell Green, MED, LPC, LCDC in Lubbock, TX

Latia Chanell Green, MED, LPC, LCDC is a medicare enrolled "Counselor - Professional" provider in Lubbock, Texas. Her current practice location is 6313 13th St, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 441-3892.

Latia Chanell Green is licensed to practice in Texas (license number 79877) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881209633.

Contact Information

	Latia Chanell Green, MED, LPC, LCDC
	6313 13th St, Lubbock, TX 79416-5940
	(806) 441-3892
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Latia Chanell Green
Gender	Female
Speciality	Counselor - Professional
Location	6313 13th St, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881209633
Provider Enumeration Date: 09/09/2020
Last Update Date: 12/01/2022

Medicare PECOS Information:

PECOS PAC ID: 8820430077
Enrollment ID: I20240520003858

Medical Identifiers

Medical identifiers for Latia Chanell Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881209633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	14060 (Texas)	Secondary
101YP2500X	Counselor - Professional	79877 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Latia Chanell Green allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latia Chanell Green is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Latia Chanell Green, MED, LPC, LCDC 4204 49th St, Lubbock, TX 79413-3722 Ph: () -	Latia Chanell Green, MED, LPC, LCDC 6313 13th St, Lubbock, TX 79416-5940 Ph: (806) 441-3892

Reviews and Comments

Counselor in Lubbock, TX

Emily Ann Farmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3305 20th St, Lubbock, TX 79410 Phone: 806-787-4417
Rebecca Hyman, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3601 4th St Stop 8119, Lubbock, TX 79430 Phone: 806-743-6166
Ashley M Pair, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 4703 S Loop 289, Lubbock, TX 79424 Phone: 806-687-5413 Fax: 806-317-1588
Janoma Jean Rowin, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4601 50th St, Lubbock, TX 79414 Phone: 806-317-2685
Mckaley Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6442 98th St Ste 300, Lubbock, TX 79424 Phone: 806-853-7639
Aaron Victor Sanborn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1602 10th St, Lubbock, TX 79401 Phone: 806-766-0310 Fax: 806-744-9580
Kimberly Ethridge Hamilton, LPC, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Iola Ave, Suite 103, Lubbock, TX 79424 Phone: 806-785-3315

Latia Chanell Green, MED, LPC, LCDC - Medicare Counselor in Lubbock, TX